Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List

Knoppert, David; Rieder, Michael J.

doi:10.5863/1551-6776-25.3.173

Cited by 2 publications

References 3 publications

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Role of Clinical Pharmacists in Pediatric Disease Wards

Mercumek,

Sahin

2024

The Roles and Responsibilities of Clinical Pharmacists in Hospital Settings

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Effective medication therapy management is essential in addressing pediatric pharmacotherapy's unique challenges, as pediatric patients are distinct from adults in terms of physiological and pharmacological characteristics. This management requires a multidisciplinary team to provide optimal care, with clinical pharmacists specializing in pediatrics playing a role in ensuring safe and effective medication use in this patient population. This chapter reviews clinical pharmacists' roles and responsibilities in these settings, including participation in interdisciplinary rounds, medication reconciliation and review, and patient counseling. In addition, this chapter investigates the essential knowledge required to fulfill the roles and responsibilities of clinical pharmacists in pediatric care settings, which include a basic understanding of common pediatric diseases and medications, clinical guidelines, tools used to provide clinical pharmacy services, identification and prevention of drug-related problems, and clinical competencies. Additionally, this chapter discusses the current evidence on the impact of clinical pharmacy services on outcomes such as medication errors, adverse drug events, and treatment efficacy in pediatric disease wards and the literature on the roles of clinical pharmacists in pediatric wards. Overall, this chapter emphasizes the critical importance of integrating clinical pharmacists as essential healthcare team members in pediatric disease wards to enhance the quality of care and improve patient outcomes.

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Role of Clinical Pharmacists in Pediatric Disease Wards

Mercumek,

Sahin

2024

The Roles and Responsibilities of Clinical Pharmacists in Hospital Settings

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Antibiotic safety among neonates and paediatrics in a public hospital: KwaZulu-Natal

Frank,

Oosthuizen,

Bangalee

2023

Health SA Gesondheid

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Background: The World Health Organization (WHO) guidelines recommend the empiric treatment of infections before definitive treatment begins. However, ethical concerns limit the availability of clinical trials in neonates and paediatrics to fully ascertain the safety profile of antibiotics in these populations.Aim: This study aimed to quantify the use of antibiotics among neonates and paediatrics and commented on the use, rationale and appropriateness of antibiotics prescribed.Setting: A secondary level public sector hospital located in Durban, KwaZulu-Natal.Methods: Demographic and treatment information of neonates and paediatrics were collected retrospectively from January 2022 to June 2022. Data were obtained from patient files and extracted for analysis using Microsoft Excel®. Analytical and descriptive statistics were used to analyse patient demographics and treatment variables.Results: A total of 568 antibiotics, issued to 389 patients, were reviewed. Penicillins (40.1%), aminoglycosides (24.3%) and combination penicillin-beta-lactam inhibitors (23.3%) were identified as the most frequently prescribed antibiotics for inpatients. Most antibiotics prescribed to inpatients were for complications associated with pre-term birth (66.9%). Combination penicillin-beta-lactam inhibitors (34.7%), penicillins (29.5%) and cephalosporins (29.5%) were the most frequently prescribed antibiotics to outpatients. A correlation was found between the route of administration and the duration of therapy; the intravenous route (63.6%) was preferred over the oral route (36.4%) for administration.Conclusion: Many broad-spectrum antibiotics were prescribed, thus increasing the risk of resistance. Antibiotics were being prescribed according to the guidelines; however, there is still a need for therapeutic drug monitoring to ensure the continuation of rational drug use.Contribution: There was evidence of rational use of antibiotics in the public hospital (KwaZulu-Natal), in keeping with economic and availability factors.

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Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List

Abstract: Ethical Approval and Informed Consent Given the nature of this study, the project was exempt from institution review board/ethics committee review.

Cited by 2 publications

References 3 publications

Role of Clinical Pharmacists in Pediatric Disease Wards

Role of Clinical Pharmacists in Pediatric Disease Wards

Antibiotic safety among neonates and paediatrics in a public hospital: KwaZulu-Natal

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