在儿科中药物使用的模式:意大利医院的观察研究 (PAPEOS研究)
Marta Di Salvo1, Greta Santi Laurini2, Domenico Motola2
1Hospital Pharmacy, Azienda Ospedaliero-Universitaria di Ferrara Arcispedale S. Anna, Cona, Ferrara, Italy.
British journal of clinical pharmacology
|January 1, 2024
概括
在意大利的儿科医院,非标签药物的使用非常广泛,一半的处方都是不当使用的. 改善药物监管和药物不良反应 (ADR) 报告对于儿童患者的安全至关重要.
科学领域:
- 儿科药理学 儿科药理学
- 药品安全监督 药品安全监督
- 医院药房实践 医院药房实践
背景情况:
- 儿科患者的非标签药物使用是一个重大问题.
- 儿童的药物不良反应 (ADR) 需要仔细监测.
- 意大利医院在遵守儿科护理药物许可方面面临挑战.
研究的目的:
- 量化意大利儿科和新生儿病房中非标签药物处方的流行率.
- 评估儿科患者疑似药物不良反应 (ADR) 的发生率.
- 评估药物监督教育干预对ADR报告的影响.
主要方法:
- 这是一项为期两年的前性队列研究,涉及22名意大利医院病房.
- 数据收集包括检索报告的副作用和评估非标签使用的药物处方.
- 实施了关于药物监测的教育干预,随后进行了重复数据收集阶段.
主要成果:
- 50%的处方药被非标签药物使用,主要涉及剂量变化.
- 新生儿病房的非标签处方率略高,其中抗菌药物最常见.
- 在教育干预后,ADR报告显著增加,35份报告中有10份与非标签药物使用有关.
结论:
- 在意大利的儿科卫生保健机构中,非标签药物管理非常普遍.
- 需要采取监管行动,以确保药物使用与当前证据保持一致,并改善儿科ADR报告.
- 需要进行进一步的研究,以确定常用药物的适当儿科指示和剂量.
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