Evidence map›Paper›PMID 19552752›Full record

ArticleBritish journal of clinical pharmacology2009

Determinants of the drug utilization profile in the paediatric population in Italy's Lombardy Region.

Antonio Clavenna, Marco Sequi, Angela Bortolotti, Luca Merlino, Ida Fortino, Maurizio Bonati

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Article in British journal of clinical pharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

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18citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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  7. Observational
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  12. Review
  13. Geographical epidemiology of antibacterials in the preschool age.International journal of health geographics · 2012
    Article
  14. Article
  15. Article
  16. Article
  17. Off-label antibiotic use in children in three European countries.European journal of clinical pharmacology · 2010
    Article
  18. Article
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Antonio ClavennaDepartment of Public Health, Mario Negri Institute for Pharmacological Research, Milan, Italy. clavenna@marionegri.it
Marco Sequi
Angela Bortolotti
Luca Merlino
Ida Fortino
Maurizio Bonati

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the intraregional differences in drug prescribing to children and adolescents.

methodsPrescriptions reimbursed by the National Health System, involving 1543 203 children and adolescents <18 years old and dispensed during 2005 by the retail pharmacies of 15 local health units (LHU) in the Lombardy Region, were analysed. Logistic regression analysis was performed to evaluate the association between drug prescription and age, gender, prescriber, and setting.

resultsA total of 747 790 youths (48%) received at least one drug prescription. The prescription prevalence rate was highest in children 1-5 years old (65%), decreased with increasing age to 38% in adolescents, and was slightly higher in boys than in girls. Antibiotics and anti-asthmatics were the most prescribed therapeutic classes. Amoxicillin + clavulanic acid was the most prescribed drug (18% of children; 20% of packages). Large differences were found in the drug prescription prevalence rate between the different LHUs. The rate ranged between 38.4 and 54.8%, and was not correlated to hospitalization rate in the paediatric population. Being 1-5 years old [odds ratio (OR) 4.51, 95% confidence interval (CI) 4.43, 4.58] and living in the eastern part of the region (OR 2.06, 95% CI 1.99, 2.13) were the factors associated with the highest risk of drug exposure.

conclusionsThe results resemble the profiles observed in other Italian contexts, in particular concerning the wide use of antibiotics and anti-asthmatics. However, large differences were found between LHUs, highlighting the need for more detailed investigations on therapeutic needs, drug use, and related variables in different geographic contexts.

Indexed as

AdolescentChildChild, PreschoolCommunity Health ServicesDrug PrescriptionsDrug UtilizationFemaleHealth SurveysHumansInfantInfant, NewbornItalyMalePediatricsPharmaceutical PreparationsProfessional PracticePharmaceutical Preparations

Identifiers

PMID19552752
PMCPMC2686074

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