Knowledge and Perception of Rhinitis Medicamentosa among ENT Clinic Attendants in the Tertiary-Level Government Hospitals In Tabuk, Saudi Arabia
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Introduction: Nasal congestion is the symptom most commonly reported during acute and chronic rhinosinusitis. The estimated prevalence of nasal congestion in the population is 30%. The quality of life has been affected severely by nasal congestion especially school, sleep, work and social life. The efficacy of nasal decongestion has remarkable outcome in clinical practice that led to inappropriate prescription and excessive self-prescribed medication. Rhinitis medicamentosa (RM) is a syndrome of rebound nasal congestion caused by overuse or misuse of topical nasal vasoconstrictive decongestants. RM is recorded in European Position Paper on Rhinosinusitis and Nasal Polyps [EPOS] consensus as a condition associated with the use of intranasal decongestants, in which the nasal mucosa undergoes atrophy. Studies showed that the onset of RM occurs after the use of topical sympathomimetics for 3 to 10 days. The diagnosis of RM most heavily relies on the history of use of a causative medication and the physician must ask about nose spray usage to diagnose rhinitis medicamentosa. Method: We have conducted a descriptive cross-sectional study in Governmental Hospitals in Tabuk (King's Khalid, King's Fahd Specialist Hospital) in Tabuk city, Saudi Arabia. The study included all patients who are going to attend the Ear, Nose, and Throat (ENT) clinics during the study period and be approached. In this study, participants who were using nasal decongestants for more than three days, considered to have RM. Results: Significant relation reported between participants with rhinitis medicamentosa and age groups (P<0.05). Of total 460 participants, (20.4%) were using nasal decongestant for more than three days (RM) and (79.6%) were not using nasal decongestants at all or were using it for less than three days. (43.8%) of participants who use nasal decongestants did not know about nasal decongestants addiction. Conclusion: In conclusion, majority of the respondents had poor knowledge about the recommended duration for nasal decongestants use and its complications. We need more efforts to increase awareness and knowledge about nasal decongestant.
Authors and Affiliations
Fawaz Hassan Alamri, Waleed Essam Saleh, Saleh Hammad Alhawiti, Muhannad Nasser Alanazi, Saeed Ali Alkhozym, Tarig H Merghani
Keywords
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- EP ID EP529668
- DOI 10.21276/ijmrp.2018.4.1.038
- Views 56
- Downloads 0
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