[儿童用药的特殊性]

[Specificities of prescribing medicines for children].

作者信息

Mercier Jean-Christophe, Droz Nina, Bourgade Clara, Vizeneux Audrey, Cotillon Marie, de Groc Thibault

机构信息

Service de pédiatrie générale et urgences, hôpital Louis-Mourier, AP-HP, 178 rue des Renouillers, 92700 Colombes, France; Université Paris Diderot, 5 rue Thomas-Mann, 75013 Paris, France.

Service de pédiatrie générale et urgences, hôpital Louis-Mourier, AP-HP, 178 rue des Renouillers, 92700 Colombes, France.

出版信息

Soins Pediatr Pueric. 2016 May-Jun(290):12-6. doi: 10.1016/j.spp.2016.03.006.

DOI:10.1016/j.spp.2016.03.006

PMID:27177480

Abstract

The vast majority of medicines have been developed for adults. Consequently, the prescribing of medicines for children must take into account their pharmacodynamic characteristics and must be calculated individually according to the degree of prematurity, the age, the weight or body area and the clinical condition. Medication errors are the most common type of medical errors, notably in children, due to dosage errors or prescribtion of inappropriate medicines. The best way to avoid them lies in the use of prescribing software, the involvement of pharmacists in care units, and proper communication between prescribing doctors, caregivers, pharmacists and families.

摘要

绝大多数药物是针对成年人研发的。因此，给儿童开药必须考虑其药效学特性，并且必须根据早产程度、年龄、体重或体表面积以及临床状况进行个体化计算。用药错误是最常见的医疗错误类型，尤其是在儿童中，这是由于剂量错误或开具不适当的药物所致。避免用药错误的最佳方法在于使用处方软件、让药剂师参与护理单位工作，以及开处方的医生、护理人员、药剂师和家庭之间进行适当沟通。