Abstract
Antifungal Susceptibility Patterns of Aspergillus species isolated from patients with Pulmonary diseases in IraqAlaa Hani Al-Charrakh, Zaidan Omran Al-Mamory, Kawther Ajwad Al-Malaky
Highlights
Chronic obstructive pulmonary diseases (COPD) is the major cause of chronic morbidity and will rank 7th of global burden of diseases in 2030 (Bousquet and Khaltaev, 2007)
Patients having diagnosed of COPD for at least 1 year, treated with inhalation devices and attained inhaler technique training were eligible for study
History of exacerbation has no impact on inhaler technique except MDI without spacer
Summary
Chronic obstructive pulmonary diseases (COPD) is the major cause of chronic morbidity and will rank 7th of global burden of diseases in 2030 (Bousquet and Khaltaev, 2007). The estimated prevalence of COPD are 4-20% worldwide in adults over 40 years of age and 6.3% in Asian population (Bousquet and Khaltaev, 2007) It is the 4th most common causes of hospitalization and most economic burden among chronic diseases in elderly patients (Bousquet and Khaltaev, 2007). Exacerbation of COPD is “an acute event characterized by a worsening of the patient’s respiratory symptoms that is beyond normal day-to-day variations and leads to a change in medication” (Roisin and Vestbo, 2013). There were 75% of COPD patients performed at least 1 critical error of inhaler handling leading to little or no medication reaching the lungs, (Pothirat et al, 2015) and even higher to 90% in those with exacerbation (Ahmad et al, 2013) but it could be reduced to 25% after training (Pothirat et al, 2015)
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