Effectiveness and Infant Acceptance of the Rx Medibottle versus the Oral Syringe

Autor: Patricia R. Hannon, Donna M. Kraus, Sally Freels, Leslie A. Stohlmeyer
Rok vydání: 2001
Předmět:
Zdroj: Pharmacotherapy: Official Journal of the American College of Clinical Pharmacy. 21:416-423
ISSN: 0277-0008
Popis: Study Objective. To compare the effectiveness and infant acceptance of drug delivery of the Rx medibottle with the standard oral syringe. Design. Prospective open-label, randomized, crossover clinical study. Setting. General pediatric outpatient clinic at an urban university. Subjects. Thirty healthy, bottle-fed infants, aged 2–14 months, receiving routine vaccinations. Intervention. Each infant received a single dose of acetaminophen (Tempra syrup), with one-half delivered by the Rx medibottle and one-half delivered with an oral syringe. Measurements and Main Results. Three raters independently evaluated effectiveness and infant acceptance of each drug-delivery device. Effectiveness was based on the percentage of infants receiving 100% of the intended dose. Infant acceptance was scored using a validated infant medication acceptance scale (MAS, 10 = highest level). Significantly more infants received 100% of the intended dose with the Rx medibottle (93.3%) than with the oral syringe (56.7%, p=0.0074). Infants had a significantly higher mean MAS score when using the Rx medibottle (8.3 ± 1.8 vs 7.3 ± 1.7, p=0.002). In addition, a significantly higher percentage had ideal MAS scores of 9 or above with the Rx medibottle (73%) compared with the oral syringe (17%, p=0.0001). Conclusion. The Rx medibottle was more effective and had a higher level of infant acceptance than the oral syringe. Although further studies are necessary, this suggests that the Rx medibottle may be a better method of delivering liquid drug and may increase infant adherence.
Databáze: OpenAIRE