▶ Objectives. To evaluate the drug prescribing profiles in the paediatric and elderly populations. ▶ Methods. The prescriptions processed in 2003 by Lecco's local health unit's pharmacies (which serve 326,130 people) were analysed. ▶ Results. In all, 58% of the residents served by the group of pharmacies received at least 1 drug prescription in 2003. The prescription prevalence varied according to age and ranged from 47% in children to 86% in the elderly. The elderly receive 55% of the local health unit's total prescriptions and 75% are under chronic treatment. Antibiotics were the most commonly prescribed drugs in children, while cardiovascular drugs were in the elderly. The amoxicillin-clavulanic acid combination was the most commonly prescribed drug overall. In all, 9115 elderly people (15.5% of the total elderly population) were exposed to drug combinations known to potentially cause drug interactions classified as «severe». The most commonly involved drugs amongst these were cardiovascular drugs (12.8% of the population served by the pharmacies) and musculoskeletal system drugs (7.2%). ▶ Conclusions. In the model presented, an evaluation of the risks inherent in poly-therapies and drug interactions was introduced in addition to the drug-exposure indicators for vulnerable populations. These indicators, especially if applied at the regional level, permit the identification of at-risk populations/contexts and, therefore, the planning of strategies aimed at promoting a more appropriate drug use and the prevention of adverse reactions caused by drug interactions.
|Translated title of the contribution||Drug prescriptions in children and the elderly in Lecco's local health unit|
|Number of pages||13|
|Journal||Ricerca e Pratica|
|Publication status||Published - May 2007|
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