Evidence map›Paper›PMID 37932731›Full record

ArticleBMC primary care2023

Pediatric pharmaceutical interventions in self-medication: a descriptive study in community pharmacies.

Sabrina Bedhomme, Hélène Vaillant-Roussel, Philippe Vorilhon, Elodie Lafarge, Bénédicte Pereton, Céline Prunet-Spano, Bruno Pereira, Brigitte Vennat, Chantal Savanovitch

Open access · goldAbstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Sabrina BedhommeFaculty of Pharmacy, University of Clermont Auvergne, Clermont-Ferrand, France. sabrina.bedhomme@uca.fr.ORCID 0000-0002-9860-5045
Hélène Vaillant-RousselResearch Unit ACCePPT, University of Clermont Auvergne, Clermont-Ferrand, France.ORCID 0000-0002-3384-0335
Philippe VorilhonResearch Unit ACCePPT, University of Clermont Auvergne, Clermont-Ferrand, France.
Elodie LafargeFaculty of Pharmacy, University of Clermont Auvergne, Clermont-Ferrand, France.
Bénédicte PeretonFaculty of Pharmacy, University of Clermont Auvergne, Clermont-Ferrand, France.
Céline Prunet-SpanoResearch Unit ACCePPT, University of Clermont Auvergne, Clermont-Ferrand, France.
Bruno PereiraDRCI, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Brigitte VennatFaculty of Pharmacy, University of Clermont Auvergne, Clermont-Ferrand, France.
Chantal SavanovitchFaculty of Pharmacy, University of Clermont Auvergne, Clermont-Ferrand, France.
Université Clermont Auvergne · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe practice of self-medication is common but not without risk, especially for vulnerable populations such as the pediatric population. Community pharmacists have an important role of vigilance in dispensing drugs available without a medical prescription, with the possibility of carrying out a Pharmaceutical Intervention (PI) if necessary. The aim of our study was to characterize the Pediatric Pharmaceutical Interventions (PPIs) in self-medication carried out during a spontaneous request for a drug at the community pharmacy.

methodsWe conducted a descriptive study in 139 pharmacies in the Auvergne-Rhône-Alpes region (France). Data were collected from students under the supervision of internship masters in the pharmacy, using the validated GIPAMED (GrId for PhArmaceutical Self-MEDication interventions) notification grid, the first week of each month, from February to May for five years (2017 to 2021). Collected data were entered on a secure university platform.

resultsOf the 3,552 PIs collected, 8,3% (n = 286) were PPIs. Of these PPIs, 35% (n = 100) was generated by requests for optional prescription drugs contraindicated by the pathophysiological condition, 28.3% for drugs requiring a prescription and 20.6% for over the counter drugs not indicated by the symptomatology. Finally, 10% of requests required a referral for a medical consultation. Four Anatomical Therapeutic Chemical (ATC) classes accounted for more than 90% of the requests: respiratory system (39.5%), alimentary tract and metabolism (19.2%), nervous system (11.5%), and musculoskeletal system (10.8%). The most common drugs generating PPIs were: ibuprofen, oxomemazine and combination camphor/essential oils, mainly due to age-related or weight-related contraindication. Paracetamol also generated PPIs frequently, mainly due to problems with drug compliance and more precise infra-therapeutic doses. When these PPIs were dispensed, the pharmacist's proposed solutions were accepted in 94.8% (n = 271) of the cases.

conclusionsThe community pharmacist has an important role in providing information about medicines and their correct use to patients. Our research shows that this attention benefits vulnerable populations, such as children, even for drugs that are widely used (e.g. paracetamol and non-steroidal anti-inflammatory drugs) or active substances for which there are age-related or weight-related contraindications (e.g. antitussives, camphor combinations).

Indexed as

Community Pharmacy ServicesPharmaciesPharmacyPrescription DrugsAcetaminophenCamphorChildDrug PrescriptionsHumansAcetaminophenCamphorPrescription DrugsCommunity pharmacyDrug-related problemsNon prescription DrugsPediatricsSelf-medication

Identifiers

PMID37932731
PMCPMC10626637
OpenAlexW4388414916

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.