Bacterial contamination of spacer devices used by asthmatic children

Herman A. Cohen, Zeev Cohen, Avi Shalom Pomeranz, Brigita Czitron, Ernesto Kahan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Objectives. To investigate bacterial contamination in spacer devices used by asthmatic children and the device maintenance procedures practiced by parents. Methods. Spacer devices used by 62 asthmatic children were examined. Swabs taken from the inner surface of the reservoirs and face masks were cultured. Parents were interviewed regarding their spacer cleaning and disinfection routines. Results. Bacterial contamination was noted in 22 reservoirs (35.5%) and 16 masks (25.8%). Pseudomonas aeruginosa was isolated from 21.0% of the reservoirs and 14.5% of the face masks, Klebsiella pneumoniae from 6.5% and 4.8%, and Staphylococcus aureus from 9.7% and 8.1%, respectively. Only 34 parents (54.8%) reported that they received cleaning and maintenance instructions from the medical staff at initiation of spacer use by their child, and only 38 (61.8%) cleaned the device after each use. Conclusion. Bacterial contamination is common in spacer devices. This study demonstrates that contamination rates are significantly lower when parents clean and actually dry (preferably with an air blower) spacer devices after each use. Spacer device maintenance should be emphasized in education programs for managing asthma.

Original languageEnglish
Pages (from-to)169-172
Number of pages4
JournalJournal of Asthma
Issue number3
StatePublished - 2005


  • Asthma
  • Children
  • Contamination
  • Maintenance routines
  • Spacer devices

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