Middle East Journal of Family Medicine

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October 2021 - Volume 19, Issue 10
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From the Editor

Editorial
A. Abyad (Chief Editor)

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Regional Covid

Trends and Emerging Practices in Healthcare Project Management: The Role of Corona Crisis Management Room to Control COVID-19 Spread in Aseer Region, Saudi Arabia
[Abstract]
[pdf]
Saeed Al Moslih, Ahmad Al Harbi, Ali Al-Mousa, Mushabab Al-Asmri, Haitham Bahaitham DOI: 10.5742/MEWFM.2021.94131

Attitude and practice of pregnant women living in Saudi Arabia, about COVID-19 in relation to pregnancy outcome
[Abstract]
[pdf]
Rehab Alsaleh, Fatima Mohammed Faraj, Ahlam Ahmed Aldcgha, Bashair Mohammed Omar, Elaf Hussein bin Mahfouz, Amjad Zaki
DOI: 10.5742/MEWFM.2021.94132

Quarantine COVID-19 compliance in families with an allergic and immunological diseased child and its psychological impact in KSA
[Abstract]
[pdf]
Ghaida T Alrabaiai, Abeer H. Alharthi, Jawaher SH. Alotaibi, Nada E. ALgethami, Bushra F. Alshehri, Aymen A. Atalla
DOI: 10.5742/MEWFM.2021.94146

Special editorial

The Scar is your Signature - Announcing details of FREE Skin Surgery Skills ZOOM Webinars for our readers
[Abstract]
[pdf]
Lesley Pocock

Original Contribution

Awareness of General Population of Saudi Arabia toward Diabetic Complications
[Abstract]
[pdf]
Mansuor Ahmed Alanazi, Abdullah Ibrahim Almutaz, Saleh Essa Aldhwain, Bassam Ali Alasmari, Shoug Mohammad Alfarhan, May Yahya Barakat, Yahya Hassan Almalki, Reem Abdullah ALmousa DOI: 10.5742/MEWFM.2021.94134

Etiologies of Lumbar Puncture Refusal in Pediatric Patients in Children's Hospital, Taif City, Saudi Arabia. A Cross-Sectional Study
[Abstract]
[pdf]
Sara Safar Alrebaiee, Jamal Samear farahat
DOI: 10.5742/MEWFM.2021.94135

Improving patient centered care by documenting their contribution in the plan of care at west bay health center, Qatar
[Abstract]
[pdf]
Wafaa Musallam, Hisham Abdulmoniem, Salma Elnour, Rouba Alkadi, Alawiya Gadallah, Azher Abbas Syed, Wafaa Yousuf
DOI: 10.5742/MEWFM.2021.94136

Pathological factors and associated clinical outcomes of patients with urothelial neoplasms treated at King Adulaziz University Hospital : a single center experience
[Abstract]
[pdf]
Marwan Al-Hajeili, Reem K. Ujaimi, Omar Iskanderani, Mohammad Attar, Ehab Ahmed, Maha A. Safhi, Wejdan T. Almrzouqi, Bashaer A. Alsaati
DOI: 10.5742/MEWFM.2021.94137

Impact of inhalation therapy on occurrence of oral manifestations in patients with bronchial asthma, in Jeddah, Saudi Arabia
[Abstract]
[pdf]
Fathi El-Gamal, Asim Rashid, Heetaf Saeed, Hind Alluheibi, Rotana Qari, Rahaf Baziyad
DOI: 10.5742/MEWFM.2021.94138

Population and Community

Association between obesity and mental disorders among male secondary school students in Abha, Kingdom of Saudi Arabia: A Predictor based Cross-Sectional Study
[Abstract]
[pdf]
Mubarak M.A. Alshahrani, Mohammed Al-Masoudi, Eman M. Alshahrani, Abdulrahman M. Alshahrani, Khalid M. Alshehri, Suliman A. Asiri, Ahmed M. Asiri, Ahmed A. Asiri, Ahmed H. Alabdali
10.5742/MEWFM.2021.94139

Knowledge and practice among primary care physicians in Najran (south west region), Saudi Arabia regarding Maturity Onset Diabetes of the Young (MODY)
[Abstract]
[pdf]
Mohammed Ayed Huneif
DOI: 10.5742/MEWFM.2021.94140

Level of Parental Awareness Regarding Aerodigestive Pediatric Foreign Bodies, Western Region, Saudi Arabia
[Abstract]
[pdf]
Nada E. Algethami, Abeer I.Alsulaimani, Wahaj A. Altalhi, Layla M. Alkhaldi,
Eman S. bayoumy
DOI: 10.5742/MEWFM.2021.94141

Prevalence of dry eye symptoms and risk factors in Saudi Arabia
[Abstract]
[pdf]
Abdulrahman Al-Amri, Sultan Mohammed Abdullah Alkorbi, Abdulrahman Nasser Alqahtani,
Bandar Mohammed Mushabbab Asiri, Abdullah Fahad Alahmari, Turki bjad alotaibi

Prevalence of Generalized Anxiety Disorder among Adults in Primary Health Care in Qatar: A Cross-Sectional Study
[Abstract]
[pdf]
Hani Abdalla, Hassan Tawfik, Ahmed Alnuaimi , Ibtihal Elzaki, Mustafa Mohamed, Tasnim Mobayed, Fatima Alshibani, Safa Zain, Eman Abdelkarim , Nagham Alsmady, Muna Taher
DOI: 10.5742/MEWFM.2021.94148

Education and Training

Epley's Maneuver in Primary Care: A Quality Improvement Project
[Abstract]
[pdf]
Muhammad Hameed, Shabana Shaheen, M Imran Malik, Yousef Essam Hassan Qabeel
DOI: 10.5742/MEWFM.2021.94142

Review

A Review on the Clinical Potential of Lorcaserin in the Treatment of Obesity
[Abstract]
[pdf]
Muhammad Danial bin Daud
DOI: 10.5742/MEWFM.2021.94143

Evaluation and Approach of a Painful Quiet (Non-Red) Eye:
A Comprehensive review for Primary Health Care Physicians
[Abstract]
[pdf]
Shahd A. Al Mahfud, Abdulrahman F. Algwaiz, Lujain S. Alfayez, Ali A. AlSaeed, Turki A. Bin Dakhil
DOI: 10.5742/MEWFM.2021.94149

Knowledge of school teachers regarding Asthma in Aseer region of Saudi Arabia
[Abstract]
[pdf]
Zeinh Hussein Fardan, Abdulbari Ahmed Alzahrani, Sara Abdullah Althumairy, Hana Saeed Al Malih, Shahad Awad AlQahtani, Wijdan Saleh Quraishi, Hasnaa Abdullah Althumairy, Fajr Abdulhadi Alnaami, Wafaa Sulaiman Alhifzi
DOI: 10.5742/MEWFM.2021.94151

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Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
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Tripoli, Lebanon
Phone: (961) 6-443684
Fax: (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
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October 2021 - Volume 19, Issue 10

Impact of inhalation therapy on occurrence of oral manifestations in patients with bronchial asthma, in Jeddah, Saudi Arabia

Fathi El-Gamal (1)
Asim Rashid (2)
Heetaf Saeed (2)
Hind Alluheibi (2)
Rotana Qari (2)
Rahaf Baziyad (2)

(1) Chairman of Family Medicine Department, IbnSina National College, Jeddah, KSA
(2) IbnSina National College, Jeddah, KSA

Corresponding author:
Prof. Fathi M. El-Gamal,
Department of Family Medicine,
Ibn Sina National College. Al Mahjer Street. Jeddah, Kingdom of Saudi Arabia.
Tel: 6356555-6355882 / Fax: 6375344
P.O. Box 31906 Jeddah 21418
Email: drfathimhelgamal1996@hotmail.com

Received: August 2021; Accepted: September 2021; Published: October 1, 2021. Citation: Fathi El-Gamal et al. Impact of inhalation therapy on occurrence of oral manifestations in patients with bronchial asthma, in Jeddah, Saudi Arabia. World Family Medicine. 2021; 19(10): 62-73 DOI: 10.5742/MEWFM.2021.94138

Abstract

Background: Inhalation therapy for asthma includes cortisol and bronchodilators. High dosage and long duration of inhalation therapy has been linked with several adverse effects on the oral tissues.

Objectives: To explore the oral manifestations associated with the use of inhalation therapy among patients with asthma in Jeddah city.

Method: This was a cross sectional study; the non-probability convenient sampling method was used to select 215 subjects (99 with Doctor diagnosed asthma and 116 without asthma), from the outpatient clinics of two private hospitals. Data were collected using interview questionnaire, the standard 5th ed. WHO survey on oral manifestations, measurement of vital signs and anthropometric parameters, as well as clinical oral examination. Data were analyzed using SPSS version 22, and Logistic multinomial regression was used to study the Odds ratio and its 95% confidence interval between the variables. Level of significance for the study was 0.05. Results: The majority of patients with asthma (95%) used inhalation therapy, without use of spacers. Ulceration, pigmentation and candidiasis of the tongue, buccal mucosa and palate weresignificantly more encountered among patients with asthma compared to those without asthma (p < 0.001, 0.002 and 0.046 respectively). Xerostomia and salivary gland affection, also, were significantly more encountered among patients with asthma compared to those without asthma (p < 0.000, and 0.002 respectively). Patients with asthma were 7.7 times more likely to develop tongue disorders (OR: 7.7, p < 0.013), 3 times more likely to develop buccal mucosal disorders (OR: 3, p < 0.039), and 15 times more likely to develop palate disorders (OR: 15, p < 0.004) compared to subjects without bronchial asthma.

Conclusion: Use of inhalation therapy in patients with asthma was significantly associated with increased occurrence of oral health problems. Health education programs about proper use of inhalers and oral hygiene should be implemented by primary health care personnel.

Key words: Inhalation therapy, Asthma,
Oral manifestations, Jeddah.

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