医師の一分

アクセスカウンタ

zoom RSS 医薬品過剰摂取で70,000人の子どもがER受診/米国医療事情

<<   作成日時 : 2009/08/15 12:13   >>

ブログ気持玉 0 / トラックバック 0 / コメント 0

 流し台下のキャビネットだけでなく、薬品戸棚に鍵をかけた方が良い。CDCによる新たな研究で、処方薬や市販薬により家庭用品の2倍も子どもの誤飲事故が起きている。
 18才未満の誤摂取によるER受診者は、医薬品の過剰摂取で70,000人が受診し、その他の製品での30,000人の2倍以上である。ほとんどの子どもは誤って飲んでしまったものだが、ER受診の8%、入院した患者の14%は、親が薬を飲ませすぎたものである。医薬品過量摂取の75%以上が5才未満の子どもだった。この統計には私的な医師オフィス受診例などは含まれていない。
 最も多い薬はアセトアミノフェン(タイルノールなど)であるが、鎮痛麻薬とベンゾジアゼピンがそれに続く。
画像

----------------------
かぜ薬の副作用で年に7,000人の子どもが救急受診/米国医療事情
http://kurie.at.webry.info/200801/article_56.html
子ども向けのかぜ薬 市販中止に/米国医療事情
http://kurie.at.webry.info/200710/article_31.html
2才以下の子どもへの市販の咳止め・かぜ薬の使用中止を
http://kurie.at.webry.info/200708/article_28.html
-----------------------------------------------------
Medications Pose High Poisoning Risk for Children
http://www.nytimes.com/2009/08/13/health/13poison.html
By NICHOLAS BAKALAR
Published: August 13, 2009

Parents may want to lock the medicine cabinet as well as the cabinet under the sink. A new study from the Centers for Disease Control and Prevention has found that more than twice as many children are accidentally poisoned with prescription or over-the-counter medicines as with household consumer products.

The researchers estimate that more than 70,000 children under 18 visit emergency rooms yearly suffering from unintentional medication overdoses, compared with about 30,000 for poisonings with other products. Most of the affected children have ingested medicines without their parents’ knowledge, but 8 percent of emergency room visits and 14 percent of hospitalizations were the result of parents accidentally overdosing their offspring. More than 75 percent of the medication overdoses were in children under 5.

Dr. Daniel S. Budnitz, the senior author and an epidemiologist with the C.D.C., said that the study did not count visits to private physicians’ offices or other health care facilities, so the numbers are probably an underestimate.

The study, published in the August issue of The American Journal of Preventive Medicine, found that the drug most commonly implicated in poisoning was acetaminophen (Tylenol and other brands), with opioid painkillers and benzodiazepine antianxiety drugs close behind.

Dr. Budnitz said that parents should of course keep medications out of the reach of children, but that packaging improvements are also important. “Child safety caps came out in the 1970s and haven’t changed much,” he said. “There are packaging improvements that can be made, and we’re working with manufacturers and other federal agencies to encourage this.
--------------------------------------------------
American Journal of Preventive Medicine
Volume 37, Issue 3, pages 181-187

Medication Overdoses Leading to Emergency Department Visits Among Children

Sarah F. Schillie, MDab, Nadine Shehab, PharmDb, Karen E. Thomas, MPHc, Daniel S. Budnitz, MDbCorresponding Author Informationemail address

Background

The high prevalence of medication use increases the potential for medication overdoses, especially among children.
Purpose

This paper describes the burden of unintentional pediatric medication overdoses in order to target new prevention efforts.
Methods

Data were analyzed in 2007 and 2008 from the National Electronic Injury Surveillance System, collected January 1, 2004, through December 31, 2005, to estimate the number of emergency department visits resulting from unintentional medication overdoses among children aged ?18 years in the U.S. These data were analyzed by patient demographics, overdose cause, and implicated products, and compared to visits for nonpharmaceutical consumer product poisonings.
Results

Based on 3034 cases, an estimated 71,224 emergency department visits for medication overdoses were made annually by children aged ?18 years, representing 68.9% of emergency department visits for unintentional pediatric poisonings. The rate of unintentional poisonings from medications was twice the rate of those from nonpharmaceutical consumer products (9.2 visits per 10,000 individuals per year [95% CI=7.3, 11.0] vs 4.2 per 10,000 individuals per year [95% CI=3.3, 5.0]). Four fifths (82.2%) of visits for medication overdoses were from unsupervised ingestions (children accessing medications on their own); medication errors and misuse resulted in 14.3% of visits. Most visits (81.3%) involved children aged ?5 years, and commonly available over-the-counter medications were implicated in one third (33.9%) of visits.
Conclusions

Medication overdoses among children, notably unsupervised ingestions, represent a substantial burden in terms of emergency department visits and hospitalizations. New efforts to prevent pediatric medication overdoses are needed.

テーマ

関連テーマ 一覧


月別リンク

ブログ気持玉

クリックして気持ちを伝えよう!
ログインしてクリックすれば、自分のブログへのリンクが付きます。
→ログインへ

トラックバック(0件)

タイトル (本文) ブログ名/日時

トラックバック用URL help


自分のブログにトラックバック記事作成(会員用) help

タイトル
本 文

コメント(0件)

内 容 ニックネーム/日時

コメントする help

ニックネーム
本 文
医薬品過剰摂取で70,000人の子どもがER受診/米国医療事情 医師の一分/BIGLOBEウェブリブログ
文字サイズ:       閉じる