La prescrizione di farmaci per i bambini e gli anziani nella ASL di Lecco

Translated title of the contribution: Drug prescriptions in children and the elderly in Lecco's local health unit

Antonio Clavenna, Maurizio Bonati, Rita Campi, Lorena Labate, Alessandro Nobili, Luca Pasina, Mauro Tettamanti, Lara Monesi, Irene Marzona, Carta Roncaglioni, Angela Bortolotti, Ida Fortino, G. Walter Locatelli, Gianemilio Giuliani

Research output: Contribution to journalArticlepeer-review

Abstract

▶ 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 contributionDrug prescriptions in children and the elderly in Lecco's local health unit
Original languageItalian
Pages (from-to)100-112
Number of pages13
JournalRicerca e Pratica
Volume23
Issue number3
Publication statusPublished - May 2007

ASJC Scopus subject areas

  • Pharmacology

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