download - Malaysian Thoracic Society
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Annual Congress of <strong>Malaysian</strong> <strong>Thoracic</strong> <strong>Society</strong><br />
PP 14<br />
Underuse Of Inhaled Corticosteroids In Adults With Asthma In<br />
Hospital Sultanah Nur Zahirah, Kuala Terengganu<br />
Nurul Hayati 1 , Termizy 2 , C C Toh 3 , S L Tan 4 , Fatina 5 , C Y Yeo 6 , Norhaya 7<br />
Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia<br />
Inhaled glucocorticosteroids are currently the most effective anti-inflammatory medication for the treatment<br />
of persistent asthma (GINA 2009, NAEPP 2007). This cross-sectional study was done to assess the underuse<br />
of inhaled corticosteroids (ICS) in adults, and its relationship to their asthma control. The reasons for the<br />
underuse were also identified. Asthmatic patients from respiratory clinic, ward, and Outpatient Department<br />
were assessed by using a validated self-filled questionnaire. Out of 64 respondents who were recruited into<br />
this study, 14 respondents (21.9%) knew how to differentiate the controller and reliever for their anti-asthmatic<br />
medication. 18 respondents (28.1%) admitted that they took less puffs of ICS, while 24 respondents (37.5%)<br />
claimed that they took ICS for a lesser period of time. The overall ICS underuse rate of this study was 39.1%.<br />
Among the respondents who underused their ICS, the most common reason given was forgetfulness (31.3%).<br />
A direct self-reporting underuse of ICS showed a significant result with <strong>Malaysian</strong> Medication Adherence<br />
Scale score (MALMAS) [p< 0.001]. The mean (± S.D.) of asthma control test score of the respondents was<br />
16.20 (± 5.24), which ranged from 5 to 25 with a median of 18 score. Among the respondents, it was found that<br />
the number of the respondents with ACT score less than 20 was 42 (65.6%), while 21 respondents (32.8%) had<br />
ACT score between 20 and 24. Only one respondent scored the total score of 25 for ACT. T-test was used<br />
to identify any association between asthma control and ICS underuse. However, the present study did not<br />
showed any significant association between ACT score level and underuse of ICS.<br />
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