Uso judicioso de medicamentos em crianças

Bricks, Lúcia Ferro

doi:10.1590/s0021-75572003000700012

Cited by 24 publications

(20 citation statements)

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“…12 On the other hand, considering inherent risks 12 associated with non-hormonal antiinflammatory drugs, the excessive use of such agents as observed in our study, both self-prescribed (11.2%) and medically-prescribed (7.2%), is unacceptable, especially when compared to countries such as Holland, where the consumption of these substances is much lower (2%). 26 Acetylsalicylic acid was the fourth most frequently self-prescribed active principle, and it is also associated with some risks, such as the risk of development of Reye's syndrome in a 2-year old child with varicella, as previously reported.…”

Section: Discussionmentioning

confidence: 57%

“…26 Acetylsalicylic acid was the fourth most frequently self-prescribed active principle, and it is also associated with some risks, such as the risk of development of Reye's syndrome in a 2-year old child with varicella, as previously reported. 12 Furthermore, since a great part of the complaints treated with selfmedication resulted from respiratory conditions, atopic individuals consuming acetylsalicylic acid or other nonhormonal anti-inflammatory drugs would also be at higher risk for worsening the clinical signs of allergic manifestations. 12 In the majority of cases, the systemic antibiotics used in self-medication were available from old, partially used prescriptions, and several were expired.…”

Section: Discussionmentioning

confidence: 99%

“…12 Furthermore, since a great part of the complaints treated with selfmedication resulted from respiratory conditions, atopic individuals consuming acetylsalicylic acid or other nonhormonal anti-inflammatory drugs would also be at higher risk for worsening the clinical signs of allergic manifestations. 12 In the majority of cases, the systemic antibiotics used in self-medication were available from old, partially used prescriptions, and several were expired. Temporary use of antibiotics may cause adverse effects and the development of bacterial resistance; 9,12 in addition, the selection of drugs was Self-medication in children and adolescents -Pereira FS et al…”

Section: Discussionmentioning

confidence: 99%

“…1,2 The consumption of pharmaceuticals can be considered an indirect indicator of the quality of health care services, [2][3][4][5][6] and children and adolescents are strongly susceptible to the irrational use of drugs with and without medical control. [7][8][9][10][11][12] Economic, political and cultural factors have contributed to the growth and spread of self-medication worlwide. [13][14][15][16][17][18][19][20][21] These factors are related with aspects such as the great availability of products in the current days; the state of health that a pharmaceutical agent may represent; irresponsible publicity; pressure to convert prescription-only drugs into over-thecounter drugs; quality of health care; difficult access to health care services in poor countries.…”

Section: Introductionmentioning

confidence: 99%

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Automedicação em crianças e adolescentes

Pereira¹,

Bucaretchi²,

Stephan³

et al. 2007

J. Pediatr. (Rio J.)

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Objective: To determine the prevalence of self-medication in children and adolescents in the municipalities of Limeira and Piracicaba, state of São Paulo, and to correlate results with sociodemographic indicators and with the use of health care services (public or private).Methods: Descriptive population-based study of a simple random sample from the two municipalities, comprised of 772 inhabitants from 85 urban census sectors selected through cluster sampling. Inclusion criteria: age ≤ 18 years; interview with one parent/tutor; consumption of at least one drug in the previous 15 days. Subjects were divided into two study groups according to their pattern of drug use: self-medication (lay advice) and medical prescription. Linear association tests, descriptive analysis of variables and multiple logistic regression tests were carried out to analyze data. Results:The prevalence of self-medication was 56.6%. Mothers (51%) and drugstore employees (20.1%) were most frequently responsible for self-medication. The main groups of self-prescribed drugs were: analgesic/antipyretic and non-hormonal anti-inflammatory drugs (52.9%); drugs acting on the respiratory tract (15.4%) and gastrointestinal drugs (9.6%); and systemic antibiotics (8.6%). The situation that most commonly motivated self-medication were respiratory diseases (17.2%), fever (15%), and headache (14%). Subjects in the age group of 7-18 years (odds ratio = 2.81) and public health care users (odds ratio = 1.52) showed increased risk for self-medication. Conclusions:The prevalence of self-medication in children and adolescents was high, which reinforces the need for public health interventions aiming at preventing this practice.J Pediatr (Rio J). 2007;83(5):453-458: Children, adolescents, drugs, self-medication, pharmacoepidemiology.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Automedicação em crianças e adolescentes

Pereira¹,

Bucaretchi²,

Stephan³

et al. 2007

J. Pediatr. (Rio J.)

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“…According to figure 1, analgesics and antipyretics have been also mentioned by other authors as the most popular drugs for children's self-medication 5,6,8 . Although drugs like paracetamol and dipirone are relatively safe analgesics and antipyretics for children, provided adequate doses are respected, chronic and abusive use of these medications should be avoided, since there are reports of liver toxicity with paracetamol and decreased blood defense cells with dipirone 9 . Figure 2 shows that 53 (70.66%) drugs were administered for a period of 1 to 2 days, suggesting that children have not improved signs and symptoms.…”

Section: Discussionmentioning

confidence: 99%

Use of analgesic and anti-inflammatory drugs before assistance in a children’s first aid unit

Prolungatti¹,

Garcia²,

Cintra³

et al. 2014

Revista Dor

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BACKGROUND AND OBJECTIVES: Drug administration to children is a widely spread practice, however it may lead to several health problems, because in addition to medical guidance it requires attention of parents and caregivers. This study aimed at identifying the prevalence of drug administration in children by their tutors, before medical assistance. METHODS: This is a quantitative descriptive research involving adults who were escorting children, before medical assistance in a Children's First Aid Unit of a medium-sized city of the Vale do Paraíba Paulista in the months of June, July and August 2011, being data recorded by means of a specific form. RESULTS: Participated in the study 105 adults responsible for the children who reported that 71.42% of children were medicated before medical assistance and only 28.58% have not adopted such practice. Most frequent symptom was fever, present in 40% of participants, and drugs used were paracetamol and dipirone. CONCLUSION: Our results allow concluding that there has been a high rate of drug administration to children before medical assistance, with predominance of non-steroid antiinflammatory drugs, which may be noxious to health. It is clear the need for the adoption of measures which favor the access to health services, in addition to the awareness about the risk of administering drugs without medical prescription. Keywords: Analgesics, Anti-inflammatory drugs, Children, Self-medication. Use of analgesic and anti-inflammatory drugs before assistance in a children's first aid unit* O uso de fármacos analgésicos e anti-inflamatórios prévio ao atendimento em pronto socorro infantil RESUMO JUSTIFICATIVA E OBJETIVOS:A administração de fármacos na criança é uma prática amplamente difundida, porém pode levar a inúmeros prejuízos à saúde, pois além da orientação médica, exige atenção dos pais e cuidadores. O objetivo deste estudo foi identificar a prevalência da administração de fármacos na criança, por seus responsáveis, previamente ao atendimento médico. MÉTODOS: Trata-se de uma pesquisa quantitativa descritiva, envolvendo adultos que acompanhavam as crianças antes do atendimento médico em um Pronto Socorro Infantil de um município de médio porte do Vale do Paraíba Paulista, nos meses de junho, julho e agosto de 2011, sendo os dados registrados por meio de um formulário específico. RESULTADOS: Participaram do estudo 105 adultos responsáveis pelas crianças que relataram que 71,42% das crianças foram medicadas previamente ao atendimento médico e apenas 28,58% não adotaram essa prática. O principal sintoma citado foi febre, presente em 40% dos participantes, e os fármacos mais utilizados foram o paracetamol e a dipirona. CONCLUSÃO: Os resultados obtidos permitem concluir que houve um alto índice de administração de fármacos nas crianças previamente ao atendimento médico, com predomínio dos anti-inflamatórios não esteroides, fármacos esses que podem causar lesões à saúde. Evidencia-se a necessidade de adoção de medidas que favoreçam o acesso aos serviços de saúde, alé...

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