• Atencion primaria · May 2017

    Observational Study

    [Variability and suitability of anti-asmathic treatment in pediatric primary health care].

    • Cristina Suárez-Castañón, Gracia Modroño-Riaño, and Gonzalo Solís-Sánchez.
    • Pediatría, Hospital Universitario de Cabueñes, Gijón, Asturias, España. Electronic address: crisucamed@gmail.com.
    • Aten Primaria. 2017 May 1; 49 (5): 263270263-270.

    ObjectiveTo analyse the use patterns and the characteristics of anti-asmathic prescriptions in pediatric primary health care.DesignObservational and retrospective study.LocationPediatric primary health care, Asturias, Spain.ParticipantsDrug prescriptions in respiratory diseases in children (<14years old) during 2011.Principal MeasurementsData obtained from the billing database of the Regional Health Service of Asturias and analysed by sanitary district and primary health centres, calculating the number of DDD/1.000 children/day (DHD). Clinical records audit in 6 paediatric surgeries of sanitary district V to evaluate the suitability of the drug prescriptions to the current recommendations.ResultsThe main group were bronchodilators (17.14DHD) with predominance of the inhaled route (14DHD). We observe more use of inhaled corticoids (4.83DHD), with an important use of fluticasone. We considered un-suitable 94.3% oral bronchodilators, and >50% of mepiramine prescriptions. We registered off-label prescriptions, 17.8% of them were about oral salbutamol, being used in children <2years old.ConclusionsThe use of anti-asthmatic drugs in our region is high, maybe it's related to the asthma prevalence. We observed variability between sanitary districts and health centres. The prescription patterns are closed to the current recommendation, except in the case of oral bronchodilators.Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

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