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Journal of Aerosol Medicine
Educational Practice for Inhaled Treatments in French Cystic Fibrosis Care Centers
To cite this article:
Aurélie Clavel, Antoine Deschildre, Sophie Ravilly, Marie-Claude Simeoni, Jean-Christophe Dubus.
Journal of Aerosol Medicine.
Summer 2007,
20(2): 105-111.
doi:10.1089/jam.2007.0587.
Aurélie Clavel, M.D.Unité de Médecine Infantile, CHU Timone-Enfants, Marseille, France. Antoine Deschildre, M.D.Unité de Pneumologie Pédiatrique, Hôpital Jeanne de Flandre, CHRU, Lille, France. Sophie Ravilly, M.D.Vaincre la Mucoviscidose, Paris, France. Marie-Claude Simeoni, M.D., Ph.D.Département de Santé Publique, Université de Médecine, Marseille, France. Jean-Christophe Dubus, M.D., Ph.D.Unité de Médecine Infantile, CHU Timone-Enfants, Marseille, France. Inhaled treatments are very common in cystic fibrosis (CF) patients. We sent a questionnaire to the 49 French Cystic Fibrosis Care Centers (CFCCs) to see how the inhalation technique of CF patients was initiated and monitored (composition and formation of a potential educational team, use of a manual for use, amount of devices available for demonstration, education to disinfection procedure, realization and frequency of the inhalation technique monitoring, use of the patient's own device, and frequency of checking when a pediatric patient transfers to an adult CFCC). Results were expressed in percent and compared with the test of the difference between two correlated proportions. Education for aerosol therapy was not performed in about 20% of the CFCCs. A specific educational member was present in 33 CFCCs (68%). CFCCs owned statistically less nebulizers for demonstration than other devices. Disinfection advices were always given for nebulizers, but less frequently for spacers (80%) and dry powder inhalers (50%). The inhalation technique was monitored less than once a year or never in 22% of the cases, and rarely with the patient's own material. This monitoring was device dependent (56% with nebulizers vs. 76% with the other devices, p < 0.05). For nebulizers, monitoring depended on the presence of an educational member (p < 0.01) and of a manual for use (p = 0.03). When transferring to an adult CFCC, the inhalation technique was checked in less than a third of the patients. The inhalation technique is poorly and insufficiently initiated and monitored in CF patients. Educational teams and programs are urgently required.  This paper was cited by:Inhalation Equipment Hygiene: A Belgian National Survey Gregory Reychler, Martine Bosschaerts, Jean Chevaillier, Véronique Gaspar, Fred Lessire, Christian Opdekamp, Filip Van Ginderdeuren, Sylvie Vanlaethem, Myriam Vreys, Bart Vrijsen, The Belgian CF Physio-Group Journal of Aerosol Medicine and Pulmonary Drug Delivery. , Vol. 0, No. 0: 1-5 Abstract | Full Text PDF | Reprints & Permissions
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