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Several states in the United States (U.S.) have laws permitting stock inhalers, including short-acting beta-agonist inhalers, such as albuterol, and spacers to be prescribed to, dispensed to, and stocked in schools for use in students in respiratory distress, based on a protocol. This survey study assessed Arizona pharmacists' (1) levels of comfort for dispensing a short-acting beta-agonist inhaler to an individual child versus a stock inhaler to a school, and (2) awareness of the related Arizona state law. Researchers surveyed pharmacists licensed in Arizona who self-reported practicing in an outpatient pharmacy setting. Among 251 pharmacist participants, 62% practiced in a chain community pharmacy. About 80.8% felt comfortable filling a prescription for an albuterol inhaler in a pediatric patient case, whereas only 26.7% felt comfortable filling a prescription for albuterol inhalers to be used as stock inhalers for a given school. Among those who would not fill the stock inhaler prescription, only 5.5% reported awareness of the state law compared to 42.6% of those who would fill it (p < 0.0001). This survey identified a lack of pharmacist awareness of state laws pertaining to stock inhalers for schools.

Titel:	Pharmacists' perspectives on school stock inhaler access for children.
Autor/in / Beteiligte Person:	Anderson, K ; Gerald, LB ; Hall-Lipsy, E ; McCulley, K ; Vuong, E ; Phan, H
Link:	Zum Volltext
Zeitschrift:	Journal of public health policy, Jg. 44 (2023-09-01), Heft 3, S. 464
Veröffentlichung:	2005- : Basingstoke, England : Palgrave Macmillan ; <i>Original Publication</i>: [Burlington, Vt., Journal of Public Health Policy, inc.], 2023
Medientyp:	academicJournal
ISSN:	1745-655X (electronic)
DOI:	10.1057/s41271-023-00423-8
Schlagwort:	Humans Child United States Pharmacists Nebulizers and Vaporizers Albuterol Surveys and Questionnaires Asthma drug therapy
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Review Language: English [J Public Health Policy] 2023 Sep; Vol. 44 (3), pp. 464-476. <i>Date of Electronic Publication: </i>2023 Jun 21. MeSH Terms: Asthma* / drug therapy ; Humans ; Child ; United States ; Pharmacists ; Nebulizers and Vaporizers ; Albuterol ; Surveys and Questionnaires References: American Lung Association in Arizona and Arizona Department of Health Services. The 2016 Arizona Asthma Burden Report. https://azasthma.org/resources/Documents/Asthma%20Burden%20Report.pdf . Accessed 15 Apr 2023. ; Global Initiative for Asthma (GINA) Guidelines for Asthma Management and Prevention. Last updated 2022. https://ginasthma.org/wp-content/uploads/2022/07/GINA-2022-Pocket-Guide-WMS.pdf . Accessed 15 Apr 2023. ; Gerald LB, Snyder A, Disney J, Gerald JK, Thomas A, Wilcox G, Brown MA. Implementation and evaluation of a stock albuterol program for students with asthma. Ann Am Thorac Soc. 2016;13(2):295–6. https://doi.org/10.1513/AnnalsATS.201510-683LE . (PMID: 10.1513/AnnalsATS.201510-683LE) ; American Lung Association – Why Schools Should Stock Asthma Inhalers website. https://www.lung.org/about-us/blog/2017/09/why-schools-should-stock-inhalers.html . (2017). Accessed Apr 2020. ; Arizona Asthma Coalition webpage. https://www.azasthma.org/ . (2020). Accessed Apr 2020. ; Arizona Revised Statues (ARS) Chapter 1 General Provisions. Article 5 Safety Requirements §15–158: Emergency administration of inhalers by trained personnel; immunity; definitions. Accessed Apr 2020. ; Arizona Revised Statues (ARS) Chapter 21.1 Emergency Medical Services. Article 2 § 36–2229: Emergency administration of inhalers; authorized entities; training; immunity; definitions. Accessed Apr 2020. ; Rashid AR, Duffett M. Medications for children: a survey of community pharmacists. J Pediatr Pharmacol Ther. 2016;21(3):213–23. https://doi.org/10.5863/1551-6776-21.3.213 . (PMID: 10.5863/1551-6776-21.3.213) ; State of Arizona. House Bill 2208. https://www.azleg.gov/legtext/53leg/1r/bills/hb2208h.htm . Accessed 15 Apr 2023. ; Lowe AA, Gerald JK, Clemens CJ, Stern DA, Gerald LB. Managing respiratory emergencies at school: a county-wide stock inhaler program. J Allergy Clin Immunol. 2021;148(2):420-427.e5. https://doi.org/10.1016/j.jaci.2021.01.028 . (PMID: 10.1016/j.jaci.2021.01.028) ; Volerman A, Lowe AA, Pappalardo AA, Anderson CMC, Blake KV, Bryant-Stephens T, Carr T, Carter H, Cicutto L, Gerald JK, Miller T, Moore NS, Phan H, Sadreameli SC, Tanner A, Winders TA, Gerald LB. Ensuring access to albuterol in schools: from policy to implementation. An Official ATS/AANMA/ALA/NASN Policy Statement. Am J Respir Crit Care Med. 2021;204(5):508–22. https://doi.org/10.1164/rccm.202106-1550ST . (PMID: 10.1164/rccm.202106-1550ST) ; Asthma and Allergy Foundation of America. Albuterol in Schools website. https://www.aafa.org/albuterol-in-schools/ . (2022). Accessed July 2022. ; Butler SM, Boucher EA, Tobison J, Phan H. Medication use in schools: current trends, challenges, and best practices. J Pediatr Pharmacol Ther. 2020;25(1):7–24. https://doi.org/10.5863/1551-6776-25.1.7 . (PMID: 10.5863/1551-6776-25.1.7) Contributed Indexing: Keywords: Asthma; Children; Community pharmacy; Law; School; Stock inhaler Substance Nomenclature: QF8SVZ843E (Albuterol) Entry Date(s): Date Created: 20230621 Date Completed: 20230911 Latest Revision: 20230921 Update Code: 20240514

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Pharmacists' perspectives on school stock inhaler access for children.