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Pediatric pharmaceutical interventions in self-medication: a descriptive study in community pharmacies
Sabrina Bedhomme1,2, Hélène Vaillant-Roussel3,4,5, Philippe Vorilhon3,4
1Faculty of Pharmacy, University of Clermont Auvergne, Clermont-Ferrand, France. sabrina.bedhomme@uca.fr.
BMC Primary Care
|November 6, 2023
Summary
Community pharmacists play a vital role in preventing risks associated with pediatric self-medication. Their interventions ensure safer use of common medications, protecting children from potential harm.
Area of Science:
- Pharmacology
- Public Health
- Pediatrics
Background:
- Self-medication poses risks, particularly for pediatric populations.
- Community pharmacists are crucial for monitoring over-the-counter drug use.
- Pharmaceutical Interventions (PIs) are key to mitigating these risks.
Purpose of the Study:
- To characterize Pediatric Pharmaceutical Interventions (PPIs) during self-medication requests.
- To identify common drug classes and reasons for PPIs in children.
- To assess the acceptance rate of pharmacist recommendations.
Main Methods:
- A descriptive study was conducted in 139 French community pharmacies.
- Data were collected over five years (2017-2021) using the GIPAMED notification grid.
- Students under supervision recorded spontaneous drug requests for self-medication.
Main Results:
- 8.3% of PIs were PPIs (n=286).
- Common reasons included contraindications (35%), prescription-required drugs (28.3%), and inappropriate OTC use (20.6%).
- Respiratory, alimentary, nervous, and musculoskeletal systems were most affected; ibuprofen and paracetamol were frequent culprits.
Conclusions:
- Community pharmacists are essential in safeguarding children from self-medication risks.
- Interventions are vital even for common drugs like paracetamol and NSAIDs.
- Pharmacist recommendations for PPIs were highly accepted (94.8%).
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