Settembre 2005 - Volume XXIV - numero 7

Medico e Bambino


Pagine elettroniche

La prescrizione di farmaci soggetti a Nota nella popolazione pediatrica italiana

S. Maschi1, A. Clavenna1, E. Rossi2, A. Berti2, M. De Rosa2, M. Bonati1

1Laboratorio per la Salute Materno-Infantile, IRFMN, Milano
2CINECA, Consorzio Interuniversitario, Bologna

Indirizzo per corrispondenza: mother_child@marionegri.it

THE PRESCRIPTION OF DRUG WITH REIMBURSEMENT LIMITATIONS TO ITALIAN CHILDREN POPULATION

Key words: Pharmacoepidemiology, Pharmacoeconomics, Child, Reimbursement, National Health Service

The objectives of the study are to evaluate the pattern of drug prescriptions reimbursed with limitations (AIFA notes) by the National Health System in the Italian paediatric population. Prescriptions involving 982,035 children <14 years old, dispensed during 2003 by the retail pharmacies of 24 Italian local health units participating in the ARNO project, were analysed. A total of 620,239 children (63.2%) received at least one drug prescription; 80,815 received at least one drug associated with an AIFA note. The note most used, in this prescription sample is note 55; 35,798 children (3.7%) received injectable antibiotics and ceftriaxone is the most prescribed drug (2.4% of the children). Total expenditure corresponded to about € 6.4 million: somatropin is the most expensive drug (36% of the total expenditure). The main limit of the study is represented by the lack of information about the disease for which drugs are prescribed. However, from the epidemiologic evaluation of the drug prescription pattern, it is evident that the notes are insufficient regulatory tools for rationalising drug use. In order to improve the appropriateness of drug use, educative and formative interventions directed to health operators, families and patients are very important.

Vuoi citare questo contributo?

S. Maschi, A. Clavenna, E. Rossi, et al. La prescrizione di farmaci soggetti a Nota nella popolazione pediatrica italiana. Medico e Bambino 2005;24(7):475 https://www.medicoebambino.com/?id=0507_475.pdf

Pagine elettroniche

Carcinoma papillare della tiroide in età pediatrica: descrizione di un caso clinico

G. La Placa1, M. Casati2

1UO di Pediatria e Neonatologia, Azienda Ospedaliera di Vimercate, Presidio di Desio, Monza
2Pediatra di famiglia, Distretto di Desio, ASL 003, Monza

Indirizzo per corrispondenza: m.casati@fastwebnet.it

PAPILLARY CARCINOMA OF THE THYROID IN CHILDREN: A CASE DESCRIPTION

Key words: Papillary thyroid carcinoma, Dietary iodine, Thyroidectomy

Papillary carcinoma of the thyroid is the most common malignant growth affecting the thyroid, currently representing 80% of malignant thyroid neoplasm. Genetic factors, sex, dietary iodine and radiation to the head and neck play a role in etiology. We report a case of papillary thyroid carcinoma in a 7-year 6 month old female, presenting with left laterocervical adenopathy and diagnosed by fine needle aspiration. Histopathological analysis of the gland confirmed the diagnosis and showed the presence of metastases. The patient was treated with total thyroidectomy and iodine 131. Total thyroidectomy with perithyroidal neck dissection is the treatment of choice. For follow-up, we recommend physical examination with measurement of thyroglobulin, ultrasound examination of neck end eventually radioisotope scan with iodine.

Vuoi citare questo contributo?

G. La Placa, M. Casati Carcinoma papillare della tiroide in età pediatrica: descrizione di un caso clinico. Medico e Bambino 2005;24(7):477 https://www.medicoebambino.com/?id=0507_475.pdf


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