Zhou Yue, Xu Lina, Wushouer Haishaerjiang, Yu Aichen, Xu Ziyue, Chen Chaoyang, Cui Yimin, Lu Qinghong, Guan Xiaodong, Shi Luwen
Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University, Beijing, China.
Department of Pharmacy, Jiangxi Provincial Children's Hospital, Nanchang, China.
Front Pediatr. 2021 May 21;9:679203. doi: 10.3389/fped.2021.679203. eCollection 2021.
Clinical guidelines emphasized that physicians should be cautious when prescribing acid suppressions to infants. Histamine-2 receptor antagonists (H2RAs) and proton pump inhibitors (PPIs) are not approved for use in infants aged below 2 years in China. We investigated H2RA/PPI use in infants aged below 2 years hospitalized between 1st January 2015 and 31st December 2018 in a Chinese tertiary children's hospital. Our study observed that H2RAs/PPIs were frequently prescribed with a prevalence of 4.4% (7,158/162,192). The frequency of PPI use was over two-fold than that of H2RA use (71.9%, 5,148/7,158; 28.1%, 2,011/7,158). H2RAs/PPIs were commonly used to treat infants without digestive system diseases (57.5%, 4,118/7,158). Further studies are urgently needed to evaluate the effectiveness and safety of H2RAs/PPIs in infants.
临床指南强调,医生在给婴儿开酸抑制剂时应谨慎。在中国,组胺-2受体拮抗剂(H2RAs)和质子泵抑制剂(PPIs)未被批准用于2岁以下婴儿。我们调查了2015年1月1日至2018年12月31日期间在中国一家三级儿童医院住院的2岁以下婴儿使用H2RA/PPI的情况。我们的研究观察到,H2RAs/PPIs的处方频率很高,患病率为4.4%(7158/162192)。PPI的使用频率是H2RA使用频率的两倍多(71.9%,5148/7158;28.1%,2011/7158)。H2RAs/PPIs通常用于治疗无消化系统疾病的婴儿(57.5%,4118/7158)。迫切需要进一步研究来评估H2RAs/PPIs在婴儿中的有效性和安全性。