Unlicensed and off label drug use in neonates

被引:210
作者
Conroy, S [1 ]
McIntyre, J [1 ]
Choonara, I [1 ]
机构
[1] Univ Nottingham, Derbyshire Childrens Hosp, Acad Div Child Hlth, Derby DE22 3NE, England
来源
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION | 1999年 / 80卷 / 02期
关键词
unlicensed off label drug use; intensive care;
D O I
10.1136/fn.80.2.F142
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Aim-To determine the extent of use of drugs that are either not licensed (unlicensed), or are outside the terms of their product licence (off label) in a neonatal intensive care unit. Methods-A prospective study was conducted over 13 weeks. Results-455 prescription episodes were administered to 70 babies. 63 (90%) patients were given a drug that was either unlicensed or used in an off label way. 54.7% prescription episodes were off label, many for more than one reason, and 9.9% (45) were unlicensed; 35.4% (161) prescription episodes were licensed. Conclusion-The use of unlicensed and off label drugs in neonatal intensive care seems to be far greater than other paediatric settings. This highlights the difficulties faced by those trying to ensure safe and effective prescribing for neonates. Urgent action is required to resolve this situation.
引用
收藏
页码:F142 / F144
页数:3
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