[Errors for delivery medications through gastrostomy devices: study of 109 children]. / Erreurs dans l'administration des médicaments par les dispositifs des gastrostomies: étude chez 109 enfants.
Arch Pediatr
; 14(12): 1403-7, 2007 Dec.
Article
en Fr
| MEDLINE
| ID: mdl-17920253
UNLABELLED: Gastrostomy is frequently used in clinical practice for drug administration. However modalities of drug administration via a gastrostomy device have been poorly studied and remain uncodified. AIM: To assess the mode of administration of drugs as well as errors associated with the use of a gastrostomy devices for drug delivery in children. PATIENTS AND METHODS: Mode of administration of drugs was studied in 109 children (mean age 8.4+/-5.5 years, 72% neurologically impaired, 41% institutionalized children). A questionnaire was filled in by parents and/or caregivers. Errors of administration were classified as follows: galenic, due to preparation, physico-chemical interaction, lack of flushing the tube. Factors influencing the occurrence of errors were studied: living at home or in an institution, underlying disease, number of drugs administered via gastrostomy device. RESULTS: Errors were frequently observed: galenic (47%), due to preparation (42%), physico-chemical interaction (51%), lack of flushing (10%). Errors occurred more frequently in institutionalized children compared to children living at home (78 versus 25%, P<0.0005). Galenic errors were more frequent in neurologically impaired children (57 versus 30%, P<0.005). CONCLUSION: Many medications are administrated via gastrostomy tube in children. Errors are frequently observed and potentially dangerous.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Gastrostomía
/
Vías de Administración de Medicamentos
/
Errores Médicos
Límite:
Child
/
Humans
País/Región como asunto:
Europa
Idioma:
Fr
Revista:
Arch Pediatr
Año:
2007
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Francia