YU Yuncui, JIA Lulu, HU Lihua, et al. Clinical Comprehensive Evaluation on the Application of Inhaled Corticosteroids by Pediatric Clinical Pharmacists[J]. 2020,20(10):1260-1262.
YU Yuncui, JIA Lulu, HU Lihua, et al. Clinical Comprehensive Evaluation on the Application of Inhaled Corticosteroids by Pediatric Clinical Pharmacists[J]. 2020,20(10):1260-1262. DOI: 10.14009/j.issn.1672-2124.2020.10.027.
OBJECTIVE: To investigate the clinical comprehensive evaluation on the application of inhaled corticosteroids( ICS) by pediatric clinical pharmacists. METHODS: This study had conducted a questionnaire survey on102 pediatric clinical pharmacists from 12 provinces across the country in Oct. 2019
data of general information
drug evaluation
dosage form evaluation and compliance evaluation were collected and analyzed by adopting descriptive statistical method. RESULTS: In terms of drug evaluation
pediatric clinical pharmacists believed that budesonide was superior to beclomethasone and fluticasone. In terms of dosage form evaluation
pressure quantitative aerosol( without storage tank) was the most easily mastered by parents or children [with the comprehensive score( CS) was2. 86 scores]; followed by atomizer
dry-powder inhaler( turbuhaler)
pressure quantitative aerosol( with storage tank) and dry-powder inhaler( accuhaler)
with the CS were respectively 2. 59
2. 26
2. 05 and 1. 54 scores. In terms of inhalation device training
53. 92%( 55/102) of pediatric clinical pharmacists had carried out training on the use of inhalation device
while the rest 46. 08%( 47/102) had not been trained. The evaluation results of pediatric clinical pharmacists on the proportion of children ’s actual medications accounted for the prescribed medications indicated that 29 persons( 28. 43%) considered the proportion to be less than 50%
30 persons( 29. 41%)considered the proportion to be 50%-< 75% and 35 persons( 34. 31%) considered the proportion to be 75%-<100%
only 8 persons( 7. 84%) considered the proportion to be 100%. The top 3 reasons of not fully complying with the medical orders were respective children who do not cooperate with treatment
worry about the adverse drug reactions of long-term medication and drug withdrawal after condition improved. CONCLUSIONS: Pediatric clinical pharmacists should strengthen training on the use of inhalation devices for parents or children
choose inhalation devices that are easier for parents or children to master
so as to further improve the compliance to long-term treatment for children and parents.