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Implementation of mouth rinsing after use of inhaled corticosteroids in Australia

Johnstone, LK, Bereznicki, BJ ORCID: 0000-0001-8463-4817, Jacobson, G ORCID: 0000-0002-3409-8769 and Thompson, AJ ORCID: 0000-0001-8677-0249 2020 , 'Implementation of mouth rinsing after use of inhaled corticosteroids in Australia' , International Journal of Clinical Pharmacy , doi: 10.1007/s11096-020-01161-7.

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Background:Clinical guidelines recommend that patients using inhaled corticosteroids should rinse their mouth followinginhalation. There is however, a paucity of research regarding patient implementation of this recommendation and the impactit has on the occurrence of adverse effects. Objective:The aim of this study was to determine how well patients implementmouth rinsing after using inhaled corticosteroids in practice and their understanding of the rationale, information sourcesand the impact of mouth rinsing on adverse effects. Setting: Australians aged 18 years and over with a diagnosis of asthmaand/or chronic obstructive pulmonary disease who were currently using an inhaled corticosteroid. Method: Participants wererecruited via Facebook to complete an online survey. Main outcome measure: Implementation of a mouth rinse which alignedto current guideline recommendations. Results: Of 380 eligible responses, 30.5% of patients reported suboptimal mouthrinsing after using inhaled corticosteroids. Receiving advice on mouth rinsing from a healthcare professional increased thelikelihood of correct implementation (PP=0.01). Whilst most(90.0%) patients were aware rinsing may reduce oropharyngeal adverse efects, few (5.5%) were aware of its potential toreduce systemic adverse effects. Patients were more likely to report their rinsing procedure had a positive impact if they hadexperienced oral candidiasis (PP=0.01), compared to cough or hoarse voice. Conclusion: Almost one-third of patients reported a suboptimal mouth rinsing procedure after using an inhaled corticosteroid. Interventions are required to improve awareness and correct implementation of mouth rinsing.

Item Type: Article
Authors/Creators:Johnstone, LK and Bereznicki, BJ and Jacobson, G and Thompson, AJ
Keywords: asthma, chronic obstructive pulmonary disease, inhaled corticosteroid, mouth rinse
Journal or Publication Title: International Journal of Clinical Pharmacy
Publisher: Springer Netherlands
ISSN: 2210-7703
DOI / ID Number: 10.1007/s11096-020-01161-7
Copyright Information:

© Springer Nature Switzerland AG 2020

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