lunedì 5 marzo 2007

Pericoli dall'abuso di farmaci sintomatici per la tosse e la rinite nei bambini

Un recente studio epidemiologico effettuato dal CDC e pubblicato sul MMWR 
ha evidenziato l'associazione tra tre casi di morte in bambini e l'uso di farmaci sintomatici per la
tosse e la rinite. In questi bambini, di età compresa tra 1 e 6 mesi, le anlisi del sangue hanno evidenziato elevati livelli plasmatici di pseudoefedrina.
Viene suggerita estrema cautela nell'uso di farmaci da banco per la tosse e il raffreddore in quest
a fascia di età, e si sottolinea l'importanza di altre misure quali l'umidificazione dell'ambiente e l'istillazione di soluzione fisiologica.
Qui trovato l'articolo completo del MMWR e qui le linee guida di Chest per la valutazione e il trattamento della tosse.

A CDC survey found three infant deaths in 2005 associated with cough and cold medicines.
According to the report, in the latest MMWR, the infants ranged in age from 1 to 6 months, and all had high blood levels of what appeared to be pseudoephedrine. The survey was based on e-mail queries to medical examiners and a review of news and journal reports, and because the response was low, the CDC cautioned that the total might have underestimated the true number of cases.
An editorial note said proper dosing of OTC cold and cough medicines for children under age 2 has not been studied, and that systematic reviews show that in this age group the drugs offer no advantage over placebo in reducing cough and other symptoms of respiratory tract infection. It said the cases "underscore the need for clinicians to use caution when prescribing and caregivers to use caution when administering" these medicines to the very young.
The note suggested that caregivers "consider clearing nasal congestion in infants with a rubber suction bulb; secretions can be softened with saline nose drops or a cool-mist humidifier."

1 commento:

atanase ha detto...

sun ra's tune "advice for the medics" comes to mind here. it is a unique combination indeed. i used to like bebop, and used to listen a lot earlier. these days time has been short, and i sort of limit myself to more abstract sides of jazz... you would have noticed a charlie parker post on cn9 (with cortaszar picture)... anyway, thank you for your effort. take care.