[Assessment of physicians' and nurses' knowledge and practices of aerosol therapy]

Rev Mal Respir. 2017 May;34(5):553-560. doi: 10.1016/j.rmr.2016.10.006. Epub 2016 Nov 15.
[Article in French]


Introduction: Aerosol therapy is an efficient, but complex procedure. National and international practice guidelines are regularly updated. However, only a few studies have assessed the application of guidelines by users. The aim of this study is to assess the knowledge and practices of physicians and nurses regarding these guidelines.

Methods: Two self-administered questionnaires were designed by a working team and presented to physicians and nurses of four university hospitals in Paris. A pharmacy resident collected and analyzed the data with the aid of an online survey website.

Results: A total of 481 physicians and nurses completed the questionnaires (33 % of physicians and 67 % of nurses). Only 241/480 physicians and nurses (50 %) knew that several intravenous drugs cannot be nebulized. Ninety-four of 422 (22 %) of them always choose oxygen as the driving gas and 239/311 nurses (77 %) think that single use nebulizers can be re-used for the same patient.

Conclusions: This survey shows that many physicians and nurses lack knowledge and use inappropriate practices. Based on these results, a booklet has been designed by the working team. This booklet should help health professionals to harmonize practices across hospitals and to follow the guidelines correctly.

Keywords: Aérosolthérapie; Clinical practice guidelines; Connaissance; Drug aerosol therapy; Guide de bonnes pratiques cliniques; Knowledge; Pratique professionnelle; Professional practice; Questionnaire.

MeSH terms

  • Administration, Inhalation
  • Aerosols / administration & dosage*
  • Attitude of Health Personnel*
  • Equipment Contamination / prevention & control
  • Health Knowledge, Attitudes, Practice*
  • Hospitals, University / statistics & numerical data
  • Humans
  • Hygiene
  • Monitoring, Physiologic / methods
  • Monitoring, Physiologic / standards
  • Nebulizers and Vaporizers* / statistics & numerical data
  • Nurses* / standards
  • Nurses* / statistics & numerical data
  • Paris / epidemiology
  • Physicians* / standards
  • Physicians* / statistics & numerical data
  • Surveys and Questionnaires


  • Aerosols