在儿科中使用可能不合适的关键药物的流行:一个横截面研究
Mariam Jihad Diab1, Sham ZainAlAbdin2, Salah Aburuz3
1Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
儿童病房中潜在不适当的药物使用率为13.0%,其中metoclopramide和tramadol是最常见的. 这凸显了为儿童提供更安全的药物替代品的需要.
科学领域:
- 儿科药房 儿科药房
- 临床药理学 临床药理学
- 患者安全 患者安全
背景情况:
- 由于独特的药理动力学,儿童药物处方是复杂的,导致药物不良反应.
- 儿科药房协会 (PPA) 确定了67种潜在不适合儿科使用的关键药物.
研究的目的:
- 确定在儿科病房使用可能不合适药物的流行率 (PIM).
- 根据PPA的KIDs列表标准来评估PIM患病率.
主要方法:
- 2019-2021年儿科患者的回顾性观察研究.
- 匹配的KID列出了医院表单中的药物,其中包括11种用于分析的药物.
- 对PIM处方的适当性进行了电子患者档案的审查.
主要成果:
- 在3,166名儿科患者中,有13.0%接受了PIM.
- 梅托克洛普拉米德 (42.8%) 和特拉马多尔 (37.6%) 是最常被处方的PIM.
- 该研究包括415名接受PIM的患者,平均年龄为8.6岁.
结论:
- 在儿科病房中使用PIM的高患病率需要进一步调查.
- 建议制定策略和干预措施,以减少儿童使用PIM.
- 专注于为儿科患者确定和实施更安全的药物替代品.
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