Acute gingivostomatitis in children: Epidemiology in the emergency department, pain, and use of codeine before its restriction
| Autor: | A. Franclin, S. Loschi, N. de Suremain, A. Fratta, Ricardo Carbajal, Romain Guedj, J. Aroulandom |
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| Přispěvatelé: | Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Université Paris Diderot - Paris 7 (UPD7)-Université Sorbonne Paris Cité (USPC)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent [SDV]Life Sciences [q-bio] Analgesic Pain Context (language use) Herpangina 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Epidemiology Prevalence medicine Humans Practice Patterns Physicians' Child Herpetic gingivostomatitis Pain Measurement Retrospective Studies Stomatitis Codeine business.industry Infant Newborn Infant Retrospective cohort study Emergency department medicine.disease 3. Good health Analgesics Opioid Child Preschool Acute Disease Pediatrics Perinatology and Child Health Drug and Narcotic Control Female France Emergency Service Hospital business medicine.drug |
| Zdroj: | Archives de Pédiatrie Archives de Pédiatrie, Elsevier, 2019, 26, pp.80-85. ⟨10.1016/j.arcped.2018.11.004⟩ |
| ISSN: | 0929-693X 1769-664X |
| Popis: | Acute gingivostomatitis is relatively frequent in children; of viral origin, its diagnosis is usually straightforward. Acute gingivostomatitis is very painful and for many years, codeine, whose use was restricted in 2013, was widely employed in this context. The aim of this study was to ascertain the prevalence of acute stomatitis in pediatric emergency care, to evaluate the pain caused by stomatitis, and to determine the analgesic resources deployed both in the emergency department and at discharge, over the 5-year period preceding restriction of the use of codeine. Methods This was a retrospective study conducted in a pediatric emergency department (PED) of a university hospital between August 2008 and June 2013. Results A total of 702 children (372 herpetic gingivostomatitis [HGS], 149 herpangina [H], 181 hand, foot, and mouth disease [HFMD]) were included. Over the 5 years, one case of gingivostomatitis was identified for 303 visits to the PED. A total of 548 (78.1%) children were aged less than 36 months and the median age was 22 months. For 501 of 702 (71.4%) children, parents reported pain and/or feeding difficulties; in the HGS group, 314 of 372 (84.4%) patients had these symptoms. Of the 702 children, 48 (6.8%) were admitted to hospital. Overall, 457 (65.1%) of 702 children were given codeine before the PED visit, during the PED visit, or as a medication to take after discharge. The corresponding figures were 314 of 372 (84.4%) for the HGS group, 67 of 149 (45.0%) for the H group, and 76 of 181 (42.0%) for the HFMD group, P Conclusions Acute gingivostomatitis is a relative frequent reason for PED visits, and the pain and feeding difficulties that it elicits are a real challenge. Before codeine restriction, this medication played a major role in the analgesic strategy for this disease. It is essential that analgesic regimens at least as effective as codeine replace it. Morphine combined with paracetamol or the association of ibuprofen with paracetamol are options that are recommended by the French National Health Authority (HAS). |
| Databáze: | OpenAIRE |
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