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Nebulisers: reducing the risk of infection spread Patient and Carer Information Picture used with the permission of The Asthma Foundation, New Zealand www.asthmafoundation.org.nz This leaflet provides you with information about alternatives to nebulised therapy and using your nebuliser safely. Alternatives to nebulised therapy While in hospital you may be given nebulised drugs as part of your treatment. This is usually stopped when you are discharged. Some people may go home with a nebuliser as part of the treatment for their condition, such as those with cystic fibrosis or severe asthma, or people with bronchiectasis who suffer with repeated infections. Most people with respiratory problems do not need to use a nebuliser regularly to control their symptoms. There is an effective alternative available which is safer and more hygienic. Clinical studies have shown that the correct use of a Metered Dose Inhaler (MDI) with a large volume spacer is just as effective as using a nebuliser. If you use a nebuliser and would like to switch to an MDI and spacer; contact your GP or Nurse who will be able to advise you. If a switch from nebuliser to MDI and spacer is recommended for you; your doctor or nurse will arrange to provide you with one and teach you how to use them. Using nebulisers safely Evidence from previous flu outbreaks has shown that using a nebuliser can increase the risk of spreading virus infection to family, visitors, carers and health professionals who are present at the time of use. If you have chest symptoms such as; cough, sneezing or nasal discharge and use a nebuliser, you should try to avoid contact with others while your nebuliser is in use. Any home visiting nurses, doctors or care staff should be made aware of the time you take your nebuliser before they visit you, so that they can plan their visit around your treatment. If a nurse or doctor is due to visit you within 1 hour of you using the home nebuliser treatment, they may wear personal protective equipment; a face-mask, goggles, apron and gloves, when providing any care required. This is necessary for their protection and to prevent the spread of any virus. They may delay the visit to allow a gap between your nebuliser use and their visit. If you use a nebuliser as part of your treatment the information on the back page of this leaflet will help you reduce the risk of infection spread while receiving your treatment. Contact details: GP: ………………………………………………………………………………………………………. Practice/Telephone: …………………………………………………………………………………… Nurse: ………………………………………………………….......................................................... Telephone: ……………………………………………………………………………………………… Reducing the spread of infection If you continue to use a nebuliser, there are some simple steps which you can take to reduce the spread of infection. • If possible, use your nebuliser in a room that is not commonly used by others. • When possible, no one else should enter the room for 60 minutes (1 hour) after the nebuliser has been used. • Keep a window open to ventilate the room. • Wash your hands before and after using your nebuliser. • Cover your mouth with a disposable tissue when you cough or sneeze and dispose of it in a bin immediately after use. Then wash your hands. • Keep your nebuliser and mask clean and dry and replace your mask and tubing every 3 months. Catch it Bin it Kill it Developed by NHS Tayside Airways Group and reviewed by Specialist COPD Nurse Reviewed: 02/2015 Review: 02/2017 LN0133