Hawkins N, Golding J
Division of Paediatric and Perinatal Epidemiology, Royal Hospital for Sick Children, St Michael's Hill, Brostol.
Br J Clin Pharmacol. 1995 Jul;40(1):79-82. doi: 10.1111/j.1365-2125.1995.tb04539.x.
Medication which is given to young infants during the first months of life, an important period of development, may have effects on development which would not be observed in adults receiving the same drugs. The aim of this study was to estimate the numbers of children receiving various types of medication, including both prescription and non-prescription drugs, during the first 6 months of life. Self-completion questionnaires were posted to mothers participating in the Avon Longitudinal Study of Pregnancy & Childhood (ALSPAC) when their children were 6 months of age. These questionnaires included enquiries about the administration of drugs to the study children. The study was based in the three Bristol-based health districts of Avon in the United Kingdom. The study population comprised of 6973 children born in the 12 month period between the 1st July 1991 and the 30th June 1992. The majority of mothers, 96%, reported that their children had received medication, excluding vaccines, during the first 6 months of life. 35% had been given drugs from four or more different classes. Paracetamol had been given to 84% of the children, antibiotics to 30%. In view of potential effects of drug exposure on long term development, it is important that drugs which are administered to children are carefully assessed to ensure that they are not harmful.
在生命最初几个月(这是一个重要的发育阶段)给幼儿使用的药物,可能会对发育产生影响,而在服用相同药物的成年人中则不会观察到这种影响。本研究的目的是估计在出生后前6个月接受各类药物(包括处方药和非处方药)治疗的儿童数量。当参与雅芳孕期与儿童纵向研究(ALSPAC)的母亲们的孩子6个月大时,向她们发放了自我填写问卷。这些问卷包括有关研究儿童用药情况的询问。该研究位于英国雅芳地区以布里斯托尔为基地的三个卫生区。研究人群包括1991年7月1日至1992年6月30日这12个月期间出生的6973名儿童。大多数母亲(96%)报告说,她们的孩子在出生后前6个月接受过药物治疗(不包括疫苗)。35%的儿童使用过四类或更多不同种类的药物。84%的儿童服用过对乙酰氨基酚,30%的儿童使用过抗生素。鉴于药物暴露对长期发育的潜在影响,对儿童使用的药物进行仔细评估以确保其无害非常重要。