Pharmaceutical care for asthma patients: a community pharmacy-based pilot project.

Abstract:

:Asthma is a clinical problem with social, psychological, and economic burdens. To improve patient disease management and quality of life (QOL), different education programs have been developed. The purpose of this study is to adapt and implement a community-based educational program for patients with asthma. A prospective, randomized, controlled trial was performed. Fifty individuals with mild asthma (aged 18-40 years) that have been attending pharmacies were included in the sample. The duration of the disease was 9 +/- 4.21 years. A 4-month study was conducted on essence of asthma and factors that can intensify it; nourishing facts, allergens, and physical activities; self-management and use of tobacco; and pharmacotherapy, inhalation technique, and possible adverse drug reactions. Patient's health-related QOL was assessed in the beginning and at the end of the survey. Parameters assessed during the four stages of the program were patients' peak expiratory flow (PEF); inhaler technique; severe asthma symptoms, including breathlessness, hospitalization rates, frequency of urgent medical aid calls, and frequency of general practitioner visits; compliance with therapy; and satisfaction with pharmacy services. Health-related QOL of the intervention patients was improved at 4 months and there was improvement in the PEF rate, decrease in patients' breathlessness and wheezing rate, decrease in the reported hospitalizations rate because of the disease, decrease in the physician's visits, and increase in satisfaction with pharmacist-provided information. The positive results from the educational approach show a potential to decrease asthma disease complications and show a positive impact on patients' inhaler technique, patients' opinions about the pharmacy services, and information obtained.

journal_name

Allergy Asthma Proc

authors

Petkova VB

doi

10.2500/aap2008.29.3083

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

55-61

issue

1

eissn

1088-5412

issn

1539-6304

journal_volume

29

pub_type

杂志文章,随机对照试验
  • New and evolving therapies for hereditary angioedema.

    abstract::Hereditary angioedema (HAE) is a rare, autosomal dominant, genetic disorder associated with a deficiency in C1 inhibitor protein. HAE is characterized by recurrent and unpredictable episodes of swelling of the extremities, abdomen, face, and upper airway. There are several newly approved drugs as well as investigation...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,评审

    doi:10.2500/aap.2019.40.4195

    authors: Barmettler S,Li Y,Banerji A

    更新日期:2019-01-01 00:00:00

  • A 64-year-old man with chronic obstructive pulmonary disease and an atypical rash.

    abstract::A 64-year-old male patient with a 15-year history of chronic obstructive pulmonary disease presented with an atypical rash that was refractory to standard therapy. Pulmonary function tests confirmed an obstructive lung disease. Basic laboratory workup revealed conflicting information, leading to a diagnostic challenge...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2011.32.3430

    authors: Craig ET,Banta E,Craig TJ

    更新日期:2011-07-01 00:00:00

  • Relation of indoor and outdoor airborne fungal spore levels in the Kansas City metropolitan area.

    abstract:BACKGROUND:Environmental control is an important component of asthma management for persons with asthma. A damp indoor environment and elevated airborne spore levels are factors in housing environmental control. OBJECTIVES:We investigated if indoor airborne fungal spore levels correlated with outdoor ground-level airb...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2017.38.4030

    authors: Jara D,Portnoy J,Dhar M,Barnes C

    更新日期:2017-03-01 00:00:00

  • Preparation of benzylpenicilloyl-polylysine: a preliminary study.

    abstract::The manufacturing of PrePen (benzylpenicilloyl-polylysine) was suspended from September 2000 through November 2001 because of Food and Drug Administration intervention. PrePen is penicilloyl bound to polylysine and is considered to be the major determinant of penicillin metabolism; it is used as a skin-testing reagent...

    journal_title:Allergy and asthma proceedings

    pub_type: 临床试验,杂志文章

    doi:

    authors: Vemuri P,Harris KE,Suh LA,Grammer LC

    更新日期:2004-05-01 00:00:00

  • Management of asthma in adults: do the patients get what they need--and want?

    abstract::Suboptimal asthma control may be caused by a combination of factors, such as nonadherence to guidelines, lack of compliance, and poor asthma education. The aim was to assess patients' knowledge of asthma and different management strategies, including patients' attitudes toward involvement in treatment decisions. The p...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2007.28.3001

    authors: Backer V,Ulrik CS,Harving H,Lange P,Søes-Petersen U,Plaschke PP

    更新日期:2007-05-01 00:00:00

  • Oral allergy syndrome (pollen-food allergy syndrome).

    abstract::A case of Oral Allergy syndrome or Pollen-Food Allergy Syndrome is briefly discussed. The clinical characteristics, diagnosis, pathogenesis, and management of this syndrome are discussed followed by clinical pearls and pitfalls for the practicing allergist. Symptoms generally occur with the ingestion of raw fruits/veg...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:

    authors: Purohit-Sheth TS,Carr WW

    更新日期:2005-05-01 00:00:00

  • A 60-year-old woman with recurrent episodes of flushing, urticaria, and angioedema.

    abstract::Recurrent episodes of flushing, urticaria, and angioedema raise suspicion for many conditions with a wide differential diagnosis. The diagnostic approach involves consideration of allergic, cardiovascular, gastrointestinal, endocrine, infectious, neurologic, dermatologic, and drug-related causes. We describe a unique ...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2015.36.3836

    authors: Patel SV,Baldwin JL

    更新日期:2015-05-01 00:00:00

  • The role of nonsedating antihistamines in asthma therapy.

    abstract::There is well-established evidence that histamine plays a significant role as a chemical mediator in asthma. However, although antihistamines are commonly used for the treatment of allergic rhinitis, their use in asthma has been somewhat controversial. Mechanistically, their application for asthma appears logical. In ...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,评审

    doi:

    authors: Zitt MJ

    更新日期:2003-07-01 00:00:00

  • Hereditary and acquired angioedema.

    abstract::Hereditary angioedema (HAE) is an autosomal dominant disorder defined by a deficiency of functional C1 esterase inhibitor (C1-INH). Acquired angioedema is due to either consumption (type 1) or inactivation (type 2) of CI-INH. Both HAE and acquired angioedema can be life-threatening. Of the three types of HAE, type 1 i...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,评审

    doi:10.2500/aap.2019.40.4267

    authors: Patel G,Pongracic JA

    更新日期:2019-11-01 00:00:00

  • Serum levels of specific immunoglobulin E to Dermatophagoides pteronyssinus allergen components in patients with allergic rhinitis or/and asthma.

    abstract::Background: House-dust mites (HDM) allergen is one of the most important allergens in southern China; however, studies on the Dermatophagoides pteronyssinus components are relatively lacking. Objective: This study analyzed the molecular components of D. pteronyssinus in patients with allergic asthma (AS) and/or allerg...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2021.42.200105

    authors: Zou X,Hu H,Huang Z,Liao C,Huang L,Luo W,Jiang M,Sun B

    更新日期:2021-01-01 00:00:00

  • Rapid diagnosis of Mycobacterium tuberculosis infection in children using interferon-gamma release assays (IGRAs).

    abstract::Diagnosis of tuberculosis (TB) in children by the tuberculin skin test (TST) poses a diagnostic challenge for physicians due to its low specificity and cross-reactivity with nontuberculous mycobacteria and bacille Calmette-Guerin (BCG). Although interferon-gamma release assays (IGRAs) have been shown as novel TST alte...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2012.33.3574

    authors: Riazi S,Zeligs B,Yeager H,Peters SM,Benavides GA,Di Mita O,Bellanti JA

    更新日期:2012-05-01 00:00:00

  • Efficacy and tolerability study of ciclesonide nasal aerosol in patients with perennial allergic rhinitis.

    abstract::A new nasal aerosol solution formulation of ciclesonide containing a hydrofluoroalkane propellant (CIC-HFA) delivered via a metered-dose inhaler is currently in clinical development as a potential treatment for allergic rhinitis (AR). This study evaluated the efficacy and tolerability of CIC-HFA 74- or 148-microgram d...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2500/aap.2012.33.3522

    authors: Mohar D,Berger WE,Laforce C,Raphael G,Desai SY,Huang H,Hinkle J

    更新日期:2012-01-01 00:00:00

  • Reliability of skin test results when read at different time points.

    abstract::Percutaneous skin testing to determine allergies is usually read 15-20 minutes after placement, but the time to reading may be prolonged because of clinic duties or emergencies. The objective of the study was to compare skin-prick testing (SPT) wheal and flare reactions at 10, 30, and 40 minutes with the standard 20 m...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2011.32.3436

    authors: Seibert SM,King TS,Kline D,Mende C,Craig T

    更新日期:2011-05-01 00:00:00

  • Human factors study of a newly approved prefilled syringe of epinephrine for the treatment of anaphylaxis.

    abstract:BACKGROUND:Epinephrine remains the treatment of choice for acute anaphylaxis. However, currently available autoinjectors are costly, and studies have demonstrated human factor issues that result in incorrect use as well as device failures. OBJECTIVE:A recent U.S. Food and Drug Administration approved prefilled syringe...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2018.39.4154

    authors: Moss RB,Moll T,Daniels K,Carlo DJ

    更新日期:2018-09-01 00:00:00

  • Concurrent use of salmeterol with inhaled corticosteroids is more effective than inhaled corticosteroid dose increases.

    abstract::This randomized, double-blind, parallel, multi-center study was designed to determine whether the addition of salmeterol to existing inhaled corticosteroid therapy provides greater therapeutic benefit than doubling the dose of inhaled corticosteroids in symptomatic patients with asthma. A total of 514 adults were rand...

    journal_title:Allergy and asthma proceedings

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2500/108854199778553028

    authors: Murray JJ,Church NL,Anderson WH,Bernstein DI,Wenzel SE,Emmett A,Rickard KA

    更新日期:1999-05-01 00:00:00

  • Physician prescribing practices: the role of patient preference in the selection of nasal steroids.

    abstract::A telephone survey of 100 primary care physicians was performed to assess the awareness of the influence patient preference, patient satisfaction, and other factors have on the selection of nasal steroids for the treatment of allergic rhinitis. Results indicated that physicians believe drug efficacy is the primary rea...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:

    authors: Kaliner MA

    更新日期:2001-11-01 00:00:00

  • Association of inflammatory bowel disease with asthma risk: A nationwide cohort study.

    abstract:OBJECTIVE:We evaluated the risk of asthma development in adult patients with inflammatory bowel disease (IBD) in a nationwide population. METHODS:A retrospective cohort study was conducted by using data retrieved from the Taiwan National Health Insurance Research Database. Patients, ages 20 year or older, with newly d...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2015.36.3869

    authors: Peng YH,Liao WC,Su CH,Chen HJ,Hsia TC,Chu CC,Liu CJ,Kao CH

    更新日期:2015-09-01 00:00:00

  • Epinephrine auto-injector prescriptions as a reflection of the pattern of anaphylaxis in an Asian population.

    abstract::This study surveyed the prescription patterns of adrenaline auto-injectors (AAs) in Singapore to examine the frequency, triggers, and demographic pattern of anaphylaxis requiring such prescriptions. A 6-year retrospective review of 417 consecutive patients prescribed AAs in Singapore from January 1999 to December 2004...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2008.29.3102

    authors: Tham EH,Tay SY,Lim DL,Shek LP,Goh AE,Giam YC,Chng HH,Lee BW

    更新日期:2008-03-01 00:00:00

  • Leukotriene C4 synthase: a candidate gene for the aspirin-intolerant asthmatic phenotype.

    abstract::The features of the allergic inflammation underlying asthma occur as a consequence of mediators such as the cysteinyl LTs. The generation of the cysteinyl LTs is carefully regulated and dependent on the 5-LO/LTC4S pathway, of which LTC4S is the pivotal and only committed enzyme involved. Although LTC4S is related to o...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,评审

    doi:10.2500/108854199778251825

    authors: Penrose JF,Baldasaro MH

    更新日期:1999-11-01 00:00:00

  • Diagnostic value and safety of penicillin skin tests in children with immediate penicillin allergy.

    abstract::Background: The first-line method in the diagnosis of patients who describe an immediate reaction after penicillin intake is a skin test (ST) with penicillin reagents. Objectives: We aimed to determine the safety and diagnostic value of penicillin STs in the diagnosis of immediate reactions to penicillins in pediatric...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2020.41.200082

    authors: Kulhas Celik I,Turgay Yagmur I,Yilmaz Topal O,Toyran M,Civelek E,Karaatmaca B,Dibek Misirlioglu E

    更新日期:2020-11-01 00:00:00

  • Optimization of intranasal corticosteroid formulations for the treatment of allergic rhinitis.

    abstract::Intranasal corticosteroids (INCSs) provide safe and effective treatment of allergic rhinitis (AR). Currently available INCSs differ in terms of the components included in each formulation that may influence efficacy, tolerability, and patient preference for treatment. Patient preference for a specific INCS is largely ...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,评审

    doi:10.2500/aap.2007.28.2993

    authors: Wingertzahn MA,Derebery MJ,Nelson HS

    更新日期:2007-05-01 00:00:00

  • Chronic sinusitis: a surgical perspective.

    abstract::Rhinosinusitis is one of the most common chronic diseases with significant symptoms and impact on the quality of life. Surgery is indicated when appropriate medical treatment fails. A review of the clinical presentations of rhinosinusitis is presented, as well as an overview of current medical and surgical treatment o...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,评审

    doi:

    authors: Fried MP,Cuellar H,Sadoughi B

    更新日期:2006-01-01 00:00:00

  • Shrimp and cockroach co-sensitization in Southern China: Association with moth sensitization.

    abstract::Background: Moth is a common allergen in southern China. Shrimp sensitization might be related to the moth allergen. Objective: This study investigated sensitization to moth allergen in patients in southern China sensitized to shrimp and explored the effect of moth sensitization on different allergic diseases. Methods...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2020.41.200013

    authors: Liao C,Hu H,Huang Z,Lin Q,Huang H,Liu X,Luo W,Sun B

    更新日期:2020-05-01 00:00:00

  • Treatment of allergic rhinitis: effects of allergic rhinitis and antihistamines on performance.

    abstract::Antihistamines are the most commonly used drugs for allergic rhinitis, and many antihistamines may cause subclinical side effects which are not noticeable by the patient. These include impaired driving performance, impaired work performance, reduced coordination, reduced motor skills, sleepiness and impaired informati...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/108854197778605473

    authors: Storms WW

    更新日期:1997-03-01 00:00:00

  • Difficulties encountered in the emergency department by patients with hereditary angioedema experiencing acute attacks.

    abstract:BACKGROUND:Hereditary angioedema (HAE) is a rare, potentially life-threatening disease characterized by recurrent angioedema attacks. Abdominal symptoms of HAE typically mimic numerous abdominal emergencies, which may result in a delay of correct diagnosis and inappropriate treatments. OBJECTIVE:We aimed to evaluate t...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2016.37.3905

    authors: Ucar R,Arslan S,Baran M,Caliskaner AZ

    更新日期:2016-01-01 00:00:00

  • Community-acquired pneumonia: an approach to antimicrobial therapy.

    abstract::Community-acquired pneumonia (CAP), the sixth leading cause of death in the United States, has undergone significant changes in the past 30 years. In addition to the fact that it increasingly is a disease affecting the elderly and those patients with underlying comorbidities, the spectrum of microbiological agents cau...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,评审

    doi:10.2500/108854100778248980

    authors: Lange M

    更新日期:2000-01-01 00:00:00

  • Solar urticaria.

    abstract::A case of solar urticaria is presented, followed by a discussion of the clinical characteristics, pathophysiology, diagnosis, and management of this disease. Special emphasis is given to clinical pearls and pitfalls for the practicing allergist. Solar urticaria is a physical urticaria that can be difficult to diagnose...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2009.30.3273

    authors: Webb LM,Mikita CP

    更新日期:2009-09-01 00:00:00

  • Allergic bronchopulmonary aspergillosis in an HIV-infected individual.

    abstract::Aspergilloma and invasive aspergillosis have been reported in HIV-infected individuals. Allergic Bronchopulmonary Aspergillosis (ABPA) is a lung disease marked by a hypersensitivity response to inhaled aspergillus species, most commonly Aspergillus fumigatus (Af). This manifestation of Af has previously not been repor...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/108854100778249051

    authors: Jain M

    更新日期:2000-11-01 00:00:00

  • Efficacy of probiotic supplementary therapy for asthma, allergic rhinitis, and wheeze: a meta-analysis of randomized controlled trials.

    abstract::Background: Probiotic supplementary therapy to prevent allergic diseases, including asthma in children, has been widely explored in many randomized controlled trials. However, there is conflicting evidence on the effect of probiotic supplementation during pregnancy and infancy to the incidence of asthma and allergic r...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章,meta分析

    doi:10.2500/aap.2019.40.4227

    authors: Du X,Wang L,Wu S,Yuan L,Tang S,Xiang Y,Qu X,Liu H,Qin X,Liu C

    更新日期:2019-07-01 00:00:00

  • Altered L-arginine metabolism in children with controlled asthma.

    abstract::Decreased level of L-arginine may lead to airway hyperresponsiveness, inflammation, and airway remodeling. Changes in L-arginine metabolism were observed earlier in adult asthmatic patients. Studies on L-arginine metabolism in children with bronchial asthma are limited. Because biosynthesis of L-arginine is insufficie...

    journal_title:Allergy and asthma proceedings

    pub_type: 杂志文章

    doi:10.2500/aap.2014.35.3777

    authors: Kraj L,Krawiec M,Koter M,Graboń W,Kraj G,Chołojczyk M,Kulus M,Barańczyk-Kuźma A

    更新日期:2014-09-01 00:00:00