Rake Jan Peter, Vos Björn O, Vlieger Arine M
Amalia kinderziekenhuis - Radboudumc, Nijmegen.
Martini Ziekenhuis, afd. Longgeneeskunde en Cardiologie, Groningen.
Ned Tijdschr Geneeskd. 2021 Oct 28;165:D6099.
In the Netherlands, children are frequently using complementary and alternative medicine (CAM), but data on adverse events are scarce. A three-year registration amongst Dutch pediatricians found 32 cases of adverse events associated with pediatric CAM use. Twenty-two children experienced adverse events that were indirectly related to the CAM treatment, such as delaying or stopping a regular treatment or diagnosis or using an unnecessary (deficient) diet. These indirect effects involved many different therapies. Nine children experienced direct adverse events such as toxicity of an ingested substance or harm due to body manipulation. Direct effects occurred after using herbal medicine, high dose vitamins or supplements, and manual-based manipulation. The authors advise physicians to be aware of potential side-effects of CAM treatment in children and inform parents regarding its use. A list of ten recommendations for parents considering the use of CAM for their children is presented.
在荷兰，儿童经常使用补充和替代医学（CAM），但关于不良事件的数据却很稀少。一项针对荷兰儿科医生的为期三年的登记发现，有32例与儿童使用CAM相关的不良事件。22名儿童经历了与CAM治疗间接相关的不良事件，例如延误或停止常规治疗或诊断，或者采用不必要（不合理）的饮食。这些间接影响涉及许多不同的疗法。9名儿童经历了直接不良事件，如摄入物质的毒性或身体手法操作造成的伤害。直接影响发生在使用草药、高剂量维生素或补充剂以及手法操作之后。作者建议医生要意识到CAM治疗对儿童的潜在副作用，并告知家长有关其使用情况。文中还列出了给考虑为孩子使用CAM的家长的十条建议。
