Pediatric providers’ knowledge and practice of Metered Dose Inhalation techniques in Addis Ababa-Reference-Cited by-同舟云学术

Pediatric providers’ knowledge and practice of Metered Dose Inhalation techniques in Addis Ababa

Published:2024-04-22 Issue: Volume: Page:
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Author:

Weldetsadik Abate Yeshidinber¹,Worku Edlawit¹

Affiliation:

1. Saint Paul’s Hospital Millennium Medical College

Abstract

Background Aerosol therapy is the cornerstone of treatment for childhood respiratory disorders including asthma. Inhaled medications can be delivered by Metered Dose Inhaler (MDI), Dry Powder Inhaler (DPI), or nebulizers. There are limited data on the knowledge and practice of MDI techniques among pediatric providers in Ethiopia. We evaluated the knowledge and practice of MDI techniques in pediatric providers’ in a tertiary center in Addis Ababa. Methods Cross-sectional study was conducted at St. Paul’s Hospital Millennium Medical College among nurses, residents and interns working in the department of pediatrics. We assessed the knowledge and practice of the providers’ MDI techniques in children. The study was done from April 2021 to August 2021. Structured questionnaire and a standardized tool were used for data collection, and data was analyzed using SPSS version 26. Results A total of 143 pediatric providers (139 (93.7%) between 24–34 years, 82(57.3%) female) were included in the study. Majority (68(48%)) were pediatric residents. Among the healthcare providers, only 81 (57%) had good knowledge on MDI medication administration techniques in children. The practice of inhalation was appropriate in 95 (66) % of the healthcare providers (HCP) with a mean practice score of 3.08 (Standard Deviation, SD 0.34). The most frequent error (54%) was failure to hold breath after inhalation. Failure to inhale appropriately for the device (29%), and not waiting for 30–60 seconds before next dose (25%) were the other common errors of practice. On multivariable analysis, no variables were associated with knowledge and practice of inhalation therapy. Conclusion Our study documented low level of knowledge and practice of pediatric healthcare providers towards MDI administration techniques in children but no independent predictors were identified with the knowledge and skill of the providers. Training of inhalation therapy should be provided to all pediatric providers to optimize MDI administration, and education for children and their caregivers.

Publisher

Research Square Platform LLC

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