Knopf H
Robert Koch-Institut, Berlin, BRD.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007 May-Jun;50(5-6):863-70. doi: 10.1007/s00103-007-0249-z.
In the German Health Interview and Examination Survey for Children and Adolescents (KiGGS), data on the current use of medicines during the last 7 days prior to the examination were collected from 17,450 subjects aged 0 to 17 years by means of a standardised interview conducted by a physician. 50.8 % of all children and adolescents reported to have used at least 1 medication. Prevalence was found to be highest (74.9 %) in the age group 0 to 2 years. Girls showed with 53.1% a significantly higher prevalence rate than boys (48.7 %). Children from families with low socioeconomic status and children from migrant families stated a less frequent use of medication compared to children from families with higher socio economic status and no migration background. Most frequently, the boys and girls used medicines for the treatment of respiratory tract conditions (ATC code R00: 16.8%). This was followed by Alimentary System and Metabolism (ATC code A00: 16.0%) and Dermatological Preparations (ATC code D00: 9.7%). The most frequent indications included with 12.4% of all medicines reported Other Specified Prophylactic Measures (ICD code Z29.8), with 11% Acute Rhinopharyngitis (ICD code J00), and with 10. 9 % Cough (ICD code R05). Most of the drugs named were prescribed by a doctor (58%), one quarter (25%) was independently bought without prescription, 14% came from other sources, including the medicine chest, and 2% were prescribed by a non-medical practitioner. Regarding the duration of use, short-term use (less than 1 week: 55%) was encountered most frequently, while a duration of use of at least one year was reported for 13% of all medicines named. The results presented here describe the key points of medicine use among children and adolescents in Germany and are representative for this population segment. Based on the extensive data collected, further aspects, such as co- and multi-medication, are addressed. In addition, special drug segments of public health interest shall be represented in the future.
在德国儿童和青少年健康访谈与检查调查(KiGGS)中,通过医生进行的标准化访谈,从17450名0至17岁的受试者中收集了检查前最后7天内当前用药的数据。所有儿童和青少年中有50.8%报告至少使用过1种药物。0至2岁年龄组的患病率最高(74.9%)。女孩的患病率为53.1%,显著高于男孩(48.7%)。与社会经济地位较高且无移民背景家庭的儿童相比,社会经济地位较低家庭的儿童和移民家庭的儿童用药频率较低。男孩和女孩最常使用治疗呼吸道疾病的药物(ATC编码R00:16.8%)。其次是消化系统和代谢药物(ATC编码A00:16.0%)以及皮肤科制剂(ATC编码D00:9.7%)。最常见的适应症包括所有报告药物中的12.4%为其他特定预防措施(ICD编码Z29.8),11%为急性鼻咽炎(ICD编码J00),10.9%为咳嗽(ICD编码R05)。大多数提及的药物是由医生开的(58%),四分之一(25%)是无处方自行购买的,14%来自其他来源,包括药箱,2%是由非执业医生开的。关于用药时长,最常遇到的是短期用药(少于1周:55%),而所有提及药物中有13%报告用药时长至少为1年。此处呈现的结果描述了德国儿童和青少年用药的要点,并且代表了这一人群。基于收集到的大量数据,还探讨了联合用药和多重用药等其他方面。此外,未来将呈现具有公共卫生意义的特殊药物领域。