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The use of inhaler devices by Libyan asthmatic patients: Evaluation of community pharmacists� counseling capability and patients perspective and adherence study
Asthma is one of the major health problems worldwide, and inhalation therapies are central in its management. Good inhalation
technique is essential for optimum pharmacotherapy and minimum health care costs. Community pharmacists have become
more involved in the care of asthma patients. However, data regarding the intervention of Libyan pharmacists in the management
of asthma are scarce. Thus, the aims of this study were to evaluate community pharmacists� practical knowledge and skills of
demonstrating proper inhalation technique of asthma inhaler devices available in Tripoli city, and to investigate counseling skills of
pharmacists on asthma devices and asthma medications in general. Other aims for the current study were to explore the perspectives
and management adherence by asthmatic patients. Two hundred community pharmacists were interviewed in 60 private pharmacies
and 1 hospital pharmacy located in Tripoli areas. Asthma patients (n=85) also participated in this study. The study was carried out
for 16 weeks and four asthma devices were tested (MDI, MDI with a spacer, Turbuhaler, and Diskus). Mystery patients and face-toface
interview studies were conducted. The basic steps of using MDI were illustrated to patients by 50% of pharmacists. Only (39%)
of them advised their patients about how to use MDI with a spacer and poorly demonstrated for most steps. Whereas correct steps
of using Turbuhalers were demonstrated by 66% of the pharmacists, more than half of the pharmacists were capable to demonstrate
steps of Diskus at a moderate level. The study recommends a need for training programs tailored toward fostering community
pharmacists� role as primary providers of asthma education.