Manipulation of oral medication for children by parents and nurses occurs frequently and is often not supported by instructions.
Acta Paediatr
; 108(8): 1475-1481, 2019 08.
Article
in En
| MEDLINE
| ID: mdl-30632630
ABSTRACT
AIM:
Due to a lack of age-appropriate formulations, administration of drugs to children remains a challenge. This study aimed to identify the problems experienced in both the outpatient setting and the clinical setting.METHODS:
Between June 2017 and January 2018, we performed a cross-sectional, prospective study at the Sophia Children's Hospital, The Netherlands. The study comprised of a structured interview on drug manipulations with parents visiting the outpatient clinic, and an observational study of drug manipulations by nurses at the wards.RESULTS:
A total of 201 questionnaires were collected, accounting for 571 drugs and 169 manipulations (30%). Drug substances that were most often mentioned as manipulated were macrogol (n = 23), esomeprazole (n = 15), paracetamol (n = 8), methylphenidate (n = 7) and melatonin (n = 7). Of all manipulated medicines, 93/169 (55%) were manipulated according to the instructions or recommendations of the Summary of Product Characteristics (SmPC) or patient information leaflet. During the observational study, manipulation was performed by 21/35 of observed nurses (60%), of whom 11 deviated from the hospital protocol for manipulation or SmPC (52%).CONCLUSION:
Manipulation was a widely used method to administer drugs to children. Validated information regarding manipulation of drugs for both parents and nursing staff is needed.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pediatric Nursing
/
Administration, Oral
Type of study:
Guideline
/
Observational_studies
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Prevalence_studies
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Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
/
Newborn
Language:
En
Journal:
Acta Paediatr
Year:
2019
Document type:
Article
Affiliation country: