An Assessment of Cough Medicine Dispensing Practice to Children Under Two Years Old in Pharmacies in Ho Chi Minh City Using Simulated-Patient Method

Quyen Thi Ngoc Phan, Van Thi Truong, Thanh Ngoc Pham, Ho Nhu Nguyen, Quynh Thi Huong Bui

Abstract


Over-the-counter (OTC) cough and cold medications (CCMs) have been used to treat the symptoms of upper respiratory infection in children for decades. The safety of CCMs in children has been questioned. The data on knowledge of pharmacists in supplying cough medicines for children under two years have been limited. This study aimed to evaluate the pharmacists’ dispensing decisions to manage the cough in children under two years old. A descriptive cross-sectional was carried out in 300 pharmacies in 15 districts in Ho Chi Minh City, Vietnam. The pharmacists were interviewed by a simulated patient. The results showed that, information that pharmacists actively asked the client about the patient and disease symptoms was limited. Most pharmacists did not provide adequate instructions and counsel about using drugs for clients. Only 22/300 (7.33%) of pharmacists appropriately provided cough medicines for children under 2 years old. The main reason of inappropriateness was the deficiency of knowledge about updated contraindication of N-acetylcysteine (93.17%). Pharmacists in pharmacies located in districts 3, 11 and Binh Thanh had higher rate of rational provision than those in other districts. A good and full understanding of the patient symptom helped the pharmacists supply cough medicines more reasonably. The limited caution of pharmacists and the low proportion of pharmacists updating contraindication of N-acetylcysteine should be considered as a warning sign in pharmacy practice in Ho Chi Minh City, Vietnam.


Keywords


Cough medications, Children, Pharmacy

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References


REFERENCES

Abegaz, T.M., Belachew, S.A., Abebe, T.B., Gebresilassie, B.M., Teni, F.S., & Woldie, H.G. (2016). Management of children's acute diarrhea by community pharmacies in five towns of Ethiopia: simulated client case study. Therapeutics and clinical risk management, 12, 515-26.

Anne B Chang, MBBS, FRACP, PhD, FAPSR, FAHMS, Julie M Marchant, MBBS, FRACP, PhD. (2018). Approach to chronic cough in children. Retrieved from: https://www.uptodate.com/contents/approach-to-chronic-cough-in-children (accessed 20 November 2018).

Brata C, Fisher C, Marjadi B, Schneider CR, Clifford RM. (2016). Factors influencing the current practice of self-medication consultations in Eastern Indonesian community pharmacies: a qualitative study. BMC Health Services Research, 179(16), 3 – 7.

De Blasio, F., Virchow J.C., Polverino M., Zanasi A., Behrakis P.K., Kilinc G., Balsamo R., De Danieli G., Lanata L. (2011). Cough management: a practical approach. Cough, 7(1), 7.

Department of Child and Adolescent Health and Development, World Health Organization (WHO). (2001).Cough and cold remedies for the treatment of acute respiratory infections in young children. Retrieved from: http://www.who.int/maternal_child_adolescent/documents/fch_cah_01_02/en/ (accessed 20 May 2018).

Diane E Pappas, MD, JD. (2015). The common cold in children: Clinical features and diagnosis. Retrieved from: https://www.uptodate.com/contents/the-common-cold-in-children-clinical-features-and-diagnosis (accessed 20 November 2018).

Diane E Pappas, MD, JD. (2015). The common cold in children: Management and prevention. Retrieved from: https://www.uptodate.com/contents/the-common-cold-in-children-management-and-prevention (accessed 20 November 2018).

Golnaz V., Azadeh E., Neda E., Moein M., Maryam M., Nazanin E. (2015). Management of Acute Diarrhea: A Study on Community Pharmacists' Attitudes in Iran. Rev Recent Clin Trials, 10(2), 155-160.

Horvat, N., M. Koder, and M. Kos. (2012). Using the simulated patient methodology to assess paracetamol-related counselling for headache. PLoS One, 7(12), e52510. 16.

Hussain, A., & Ibrahim, M.I. (2012). Management of diarrhoea cases by community pharmacies in 3 cities of Pakistan. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit, 18(6), 635-40.

Mai Phuong Mai, Hung M.T. 2017. Pharmacology part 1. 1st ed. Medical Publisher, Hanoi, 228-235.

O’Grady KAF, Grimwood K, Toombs M, Sloots TP, Otim M, Whiley D, Anderson J, Rablin S, Torzillo PJ, Buntain H, Connor A, Adsett D, Meng kar O, Chang AB. (2017). Effectiveness of a cough management algorithm at the transitional phase from acute to chronic cough in Australian children aged <15 years: protocol for a randomised controlled trial. BMJ Open, 7(3): p. e013796. Retrieved from: http://dx.doi.org/10.1136/bmjopen-2016-013796

Shan Yin, M., MPH. (2018). Over-the-counter cough and cold preparations: Approach to pediatric poisoning. Retrieved from: https://www.uptodate.com/contents/over-the-counter-cough-and-cold-preparations-approach-to-pediatric-poisoning (accessed 20 November 2018).

Society, R.P. 2011. British National Formulary 61. BMJ Group & Pharmaceutical Press: United Kingdom. 202-205.

Society, R.P. 2017. British National Formulary for Children. BMJ Group & Pharmaceutical Press: United Kingdom. 176-178.

US Food and Drug Administration, When to Give Kids Medicine for Coughs and Colds (2017) Retrieved from: https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm422465.html (accessed 25 November 2018).

US Food and Drug Administration. Public Health Advisory: FDA recommends that over-the-counter (OTC) cough and cold products not be used for infants and children under 2 years of age. Retrieved from: http://www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders/drugsafetyinformationforheathcareprofessionals/publichealthadvisories/ucm051137.htm (accessed 14 April 2018).

Vietnam Ministry of Health. 2015. Instructions for antibiotics use. Retrieved from: https://kcb.vn/vanban/huong-dan-su-dung-khang-sinh (accessed October 12, 2018).

Vietnam Ministry of Health. 2017. Vietnamese National Formulary. Medical Publisher: Hanoi. 807-811.




DOI: http://dx.doi.org/10.14499/indonesianjpharm31iss1pp42

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