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Published on: July 29, 2020
[Drug use among children between zero and six years old: a population baseline study in the south of Brazil]
Insights
Over half of young children use medication, with significant use of drugs restricted for their age group. This study highlights the need for safer pediatric medication practices.
Area of Science:
- Pediatrics
- Pharmacology
- Public Health
Context:
- Medication use in children under six is common but requires careful consideration of age-specific guidelines.
- Understanding socio-demographic factors associated with pediatric drug exposure is crucial for public health initiatives.
Purpose:
- To determine the prevalence of medication use in children aged 0-6 years.
- To analyze socio-demographic correlates of medication use in this age group.
- To evaluate the appropriateness of prescribed medications based on pediatric recommendations and age restrictions.
Summary:
- A cross-sectional study in Southern Brazil surveyed 687 children aged six and under regarding medication use in the prior 15 days.
- 52% of children used at least one medication; paracetamol, amoxicillin, and dipyrone were most common.
- Notably, six of the top ten most used medications had age restrictions, with increased use in children under two.
Impact:
- Findings reveal substantial medication consumption among young children, including restricted drugs, underscoring potential safety concerns.
- Results emphasize the need for improved adherence to pediatric dosing and age-appropriateness guidelines in clinical practice.
- This research informs public health strategies aimed at optimizing safe medication use in pediatric populations.
Abstract:
The scope of this article was to estimate the prevalence of medication use in children between zero and six years old, analyzing the associated socio-demographic characteristics, and evaluating the adequacy of the medication with respect to pediatric recommendations and restrictions per age group. A cross-sectional study was conducted by means of cluster sampling on a sample comprised of children aged six or under, residents of a city in the south of Brazil. A standardized questionnaire about medication use 15 days prior to the interview was applied. A descriptive analysis was carried out, and the association between medication use and socio-demographic factors was evaluated, as well as the analysis of the pediatric adequacy of the most prevalent medication. Of the 687 children evaluated, 52% used at least one drug in the period. Associations between medication use and socio-demographic characteristics were not found, with the exception of per capita monthly income. The most prevalent medication was paracetamol (17.1%), followed by amoxicillin (9.5%) and dipyrone (8.4%). Among the ten drugs most used in children, six had pediatric restrictions for the age group. The results indicate significant use of medication, including medication with age restrictions, particularly for children under two years of age.
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