Una lista di farmaci condivisa per la pediatria territoriale di famiglia: Uno studio osservazionale

Translated title of the contribution: A list of shared drugs for paediatric outpatients: An observational study

Research output: Contribution to journalArticle

Abstract

Objectives - To identify a list of shared drugs on the basis of those prescribed by a group of paediatricians during the daily clinical practice. The group were involved in initiatives concerning health care for years. Materials and methods - A total of 64 paediatricians operating in 4 local health units (LHUs) of the Lombardy region participated in the study by collecting information about all the pharmacological prescription filled during 8 weeks (April, 2 - June, 1 2012). The percentage of paediatricians prescribing the same drug was calculated for all active substances. Commonly used drugs were included in the list of shared drugs if: they were prescribed by ≥ 50%; ≥ 50% of the prescriptions were filled by recommendation of a specialist and the drug was prescribed by ≥ 25% of the paediatricians. Results - Systemic antibiotics (43.8% of packages), anti-asthmatics (12.9%) and antihistamines (11.8%) were the most prescribed classes. A total of 381 active substances were prescribed. The most prescribed drug was amoxicillin (25.8% of packages), followed by amoxicillin clavulanate (9.2%) and cetirizine (9.0%). About 30% of the prescribed packages were generic and the most prescribed formulation was oral solution (54.6%). The most recommended drug by the specialist was valproic acid. The list of shared drug was composed of 38 active substances belonging to 16 therapeutic subgroups and covering 83.1% of the prescribed packages. Of these drugs, 33 were shared by ≥ 50% of the paediatricians while 5 were mainly recommended by the specialist. Conclusions - A list of shared drugs used during the daily clinical practice was identified on the basis of the frequency of use and sharing among paediatricians. The list could be propaedeutic to the creation of a shared formulary of commonly used paediatric drugs, also taking into account cost-effectiveness and safety in order to improve the rational use of drugs in children.

Original languageItalian
Pages (from-to)315-321
Number of pages7
JournalMedico e Bambino
Volume33
Issue number5
Publication statusPublished - 2014

Fingerprint

Observational Studies
Outpatients
Pediatrics
Pharmaceutical Preparations
Amoxicillin
Prescriptions
Cetirizine
Anti-Asthmatic Agents
Formularies
Drug Prescriptions
Clavulanic Acid
Histamine Antagonists
Valproic Acid
Cost-Benefit Analysis
Pediatricians
Pharmacology
Anti-Bacterial Agents
Delivery of Health Care
Safety
Health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Una lista di farmaci condivisa per la pediatria territoriale di famiglia : Uno studio osservazionale. / Piovani, Daniele; Clavenna, Antonio; Bonati, Maurizio.

In: Medico e Bambino, Vol. 33, No. 5, 2014, p. 315-321.

Research output: Contribution to journalArticle

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abstract = "Objectives - To identify a list of shared drugs on the basis of those prescribed by a group of paediatricians during the daily clinical practice. The group were involved in initiatives concerning health care for years. Materials and methods - A total of 64 paediatricians operating in 4 local health units (LHUs) of the Lombardy region participated in the study by collecting information about all the pharmacological prescription filled during 8 weeks (April, 2 - June, 1 2012). The percentage of paediatricians prescribing the same drug was calculated for all active substances. Commonly used drugs were included in the list of shared drugs if: they were prescribed by ≥ 50{\%}; ≥ 50{\%} of the prescriptions were filled by recommendation of a specialist and the drug was prescribed by ≥ 25{\%} of the paediatricians. Results - Systemic antibiotics (43.8{\%} of packages), anti-asthmatics (12.9{\%}) and antihistamines (11.8{\%}) were the most prescribed classes. A total of 381 active substances were prescribed. The most prescribed drug was amoxicillin (25.8{\%} of packages), followed by amoxicillin clavulanate (9.2{\%}) and cetirizine (9.0{\%}). About 30{\%} of the prescribed packages were generic and the most prescribed formulation was oral solution (54.6{\%}). The most recommended drug by the specialist was valproic acid. The list of shared drug was composed of 38 active substances belonging to 16 therapeutic subgroups and covering 83.1{\%} of the prescribed packages. Of these drugs, 33 were shared by ≥ 50{\%} of the paediatricians while 5 were mainly recommended by the specialist. Conclusions - A list of shared drugs used during the daily clinical practice was identified on the basis of the frequency of use and sharing among paediatricians. The list could be propaedeutic to the creation of a shared formulary of commonly used paediatric drugs, also taking into account cost-effectiveness and safety in order to improve the rational use of drugs in children.",
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