Outcome Data:
Spray technique : Majority of the patients were using steroid nose spray with an incorrect spray technique. Only 1 patient out of 99 used steroid nose spray in a completely correct manner i.e. followed each step correctly. Different steps in using nose spray were all analysed separately i.e. head position, the direction of spray inside the nose, hand preference for holding spray bottle, sniffing, tasting spray in mouth (See figure 2).
Patient compliance : Compliance issues were also identified in the use of steroid nose spray. Majority of the patients revealed “regular” use of the spray 70% (69 patients). However, some patients reported using their spray “most of the times” 14% (14 patients) and “sometimes” 16% (16 patients) respectively. 53% of patients were found using correct spray dose but 34% (34 patients) were using the incorrect dose of the prescribed spray; either underdosing or overdosing. 13% (13 patients) were unable to recall the spray name, neither we were able to find the spray name in our documentation. Hence, we can not comment whether they used correct spray dosage (See figure 3).
Nasal sprays : Below is the list of nasal sprays and the percentage of patients using these sprays:
  1. Dymista 33 patients (34%)
  2. Nasonex 21 patients (21%)
  3. Avamys 23 patients (23%)
  4. Flixonase 4 patients (4%)
  5. Beconase 4 patients (4%)
  6. Budenasoide 1 patient (1%)
  7. 13 patients cannot remember the name of the spray (13%).