Maniero Hellen Karoline, Martins Alexandre Alvares, Melo Angelita Cristine, Paz Leonardo Petrus da Silva, Schraiber Rosiane de Bona, Galato Dayani
Universidade de Brasília, Brasília, DF, Brasil.
Universidade Federal de São João Del-Rei, Divinópolis, MG, Brasil.
Rev Paul Pediatr. 2018 Oct-Dec;36(4):437-444. doi: 10.1590/1984-0462/;2018;36;4;00008. Epub 2018 Nov 14.
To analyze the context of drug use in children aged zero to five years old.
Cross-sectional study based on interviews conducted at home with caregivers (parents, uncles or grandparents) of the children enrolled in ten Family Health Strategy units across different geographical points of the city of Tubarão, Santa Catarina, Brazil.
A total of 350 caregivers were interviewed, whose children's mean age was 2.6 years. Of these, 56.9% had used at least one drug in the 15 days prior to the interview, 31.1% had been exposed to self-medication and 35.7% had used at least one medication obtained by current prescription. The use of medication was associated with the age range up to 24 months, periodic consultation with pediatricians and diagnosis of chronic and acute diseases. Among medicated children, 19.1% inappropriately had been exposed to at least one medication (considering dose, dose interval or period of treatment). Regarding medication storage, 55.2% of interviewees stored them in unsafe places that could be accessed by children and 32.0% in inappropriate places, with exposure to light, heat or humidity. Moreover, 45.2% of the interviewees stored drugs out of their packages, 38.9% without secondary packaging, and 1.6% of drugs had expired date.
Drug use is high among children in this age range, and actions aimed at the safe and rational use of these substances in this population should be encouraged.
分析0至5岁儿童的用药情况。
采用横断面研究,对巴西圣卡塔琳娜州图巴朗市不同地理位置的10个家庭健康战略单位登记儿童的照顾者(父母、叔叔或祖父母)进行家访。
共访谈了350名照顾者,其孩子的平均年龄为2.6岁。其中,56.9%的照顾者在访谈前15天内至少使用过一种药物,31.1%曾自行用药,35.7%至少使用过一种当前处方获得的药物。用药与24个月以下的年龄范围、定期咨询儿科医生以及慢性和急性疾病的诊断有关。在用药儿童中,19.1%曾不恰当地接触过至少一种药物(考虑剂量、给药间隔或治疗时间)。关于药物储存,55.2%的受访者将药物储存在儿童可接触到的不安全地方,32.0%储存在不适当的地方,暴露于光、热或湿度中。此外,45.2%的受访者将药物散装储存,38.9%没有二次包装,1.6%的药物已过期。
该年龄范围内儿童的用药率很高,应鼓励采取行动,促进该人群安全合理用药。