Exploring Acceptability Drivers of Oral Antibiotics in Children: Findings from an International Observational Study

Antibiotics are among the most commonly prescribed drugs in children. Adherence to the treatment with these drugs is of the utmost importance to prevent the emergence of resistant bacteria, a global health threat. In children, medicine acceptability is likely to have a significant impact on complian...

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Main Authors: Thibault Vallet, Yahya Bensouda, Jumpei Saito, Liv Mathiesen, Varsha Pokharkar, Viviane Klingmann, Matthew Peak, Omar Elhamdaoui, Akimasa Yamatani, Ivana Ivanovic, Manjusha Sajith, Juliane Münch, Louise Bracken, Jennifer Claire Duncan, Smita Salunke, Siri Wang, Fabrice Ruiz
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/13/10/1721
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author Thibault Vallet
Yahya Bensouda
Jumpei Saito
Liv Mathiesen
Varsha Pokharkar
Viviane Klingmann
Matthew Peak
Omar Elhamdaoui
Akimasa Yamatani
Ivana Ivanovic
Manjusha Sajith
Juliane Münch
Louise Bracken
Jennifer Claire Duncan
Smita Salunke
Siri Wang
Fabrice Ruiz
author_facet Thibault Vallet
Yahya Bensouda
Jumpei Saito
Liv Mathiesen
Varsha Pokharkar
Viviane Klingmann
Matthew Peak
Omar Elhamdaoui
Akimasa Yamatani
Ivana Ivanovic
Manjusha Sajith
Juliane Münch
Louise Bracken
Jennifer Claire Duncan
Smita Salunke
Siri Wang
Fabrice Ruiz
author_sort Thibault Vallet
collection DOAJ
description Antibiotics are among the most commonly prescribed drugs in children. Adherence to the treatment with these drugs is of the utmost importance to prevent the emergence of resistant bacteria, a global health threat. In children, medicine acceptability is likely to have a significant impact on compliance. Herein we used a multivariate approach, considering simultaneously the many aspects of acceptability to explore the drivers of oral antibiotic acceptability in children under twelve, especially in toddlers and in preschoolers. Based on 628 real-life observer reports of the intake of 133 distinct medicines, the acceptability reference framework highlighted the influence of many factors such as age and sex of patients, previous exposure to treatment, place of administration, administration device, flavor agent in excipients and active pharmaceutical ingredient. These findings from an international observational study emphasize the multidimensional nature of acceptability. Therefore, it is crucial to consider all these different aspects for assessing this multi-faceted concept and designing or prescribing a medicine in order to reach adequate acceptability in the target population.
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spelling doaj.art-607bf96c516f42b69fe4603c77bcf9e32023-11-22T19:40:21ZengMDPI AGPharmaceutics1999-49232021-10-011310172110.3390/pharmaceutics13101721Exploring Acceptability Drivers of Oral Antibiotics in Children: Findings from an International Observational StudyThibault Vallet0Yahya Bensouda1Jumpei Saito2Liv Mathiesen3Varsha Pokharkar4Viviane Klingmann5Matthew Peak6Omar Elhamdaoui7Akimasa Yamatani8Ivana Ivanovic9Manjusha Sajith10Juliane Münch11Louise Bracken12Jennifer Claire Duncan13Smita Salunke14Siri Wang15Fabrice Ruiz16ClinSearch, 92240 Malakoff, FranceFaculty of Pharmacy and Medicine, Mohammed V University in Rabat, Rabat 10170, MoroccoNational Center for Child Health and Development, Tokyo 157-8535, JapanDepartment of Pharmacy, Section for Pharmacology and Pharmaceutical Biosciences, University of Oslo, 0316 Oslo, NorwayPoona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune 411038, IndiaDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Hospital Düsseldorf, 40225 Düsseldorf, GermanyPaediatric Medicines Research Unit, Institute in the Park, Alder Hey Children’s NHS Foundation Trust, Eaton Road, Liverpool L12 2AP, UKFaculty of Pharmacy and Medicine, Mohammed V University in Rabat, Rabat 10170, MoroccoNational Center for Child Health and Development, Tokyo 157-8535, JapanDepartment of Pharmacy, Section for Pharmacology and Pharmaceutical Biosciences, University of Oslo, 0316 Oslo, NorwayPoona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune 411038, IndiaDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Hospital Düsseldorf, 40225 Düsseldorf, GermanyPaediatric Medicines Research Unit, Institute in the Park, Alder Hey Children’s NHS Foundation Trust, Eaton Road, Liverpool L12 2AP, UKPaediatric Medicines Research Unit, Institute in the Park, Alder Hey Children’s NHS Foundation Trust, Eaton Road, Liverpool L12 2AP, UKDepartment of Pharmaceutics, University College London School of Pharmacy, London WC1N 1AX, UKNorwegian Medicines Agency, 0213 Oslo, NorwayClinSearch, 92240 Malakoff, FranceAntibiotics are among the most commonly prescribed drugs in children. Adherence to the treatment with these drugs is of the utmost importance to prevent the emergence of resistant bacteria, a global health threat. In children, medicine acceptability is likely to have a significant impact on compliance. Herein we used a multivariate approach, considering simultaneously the many aspects of acceptability to explore the drivers of oral antibiotic acceptability in children under twelve, especially in toddlers and in preschoolers. Based on 628 real-life observer reports of the intake of 133 distinct medicines, the acceptability reference framework highlighted the influence of many factors such as age and sex of patients, previous exposure to treatment, place of administration, administration device, flavor agent in excipients and active pharmaceutical ingredient. These findings from an international observational study emphasize the multidimensional nature of acceptability. Therefore, it is crucial to consider all these different aspects for assessing this multi-faceted concept and designing or prescribing a medicine in order to reach adequate acceptability in the target population.https://www.mdpi.com/1999-4923/13/10/1721acceptabilityantibioticformulationpediatricchildrenClinSearch acceptability score test (CAST)
spellingShingle Thibault Vallet
Yahya Bensouda
Jumpei Saito
Liv Mathiesen
Varsha Pokharkar
Viviane Klingmann
Matthew Peak
Omar Elhamdaoui
Akimasa Yamatani
Ivana Ivanovic
Manjusha Sajith
Juliane Münch
Louise Bracken
Jennifer Claire Duncan
Smita Salunke
Siri Wang
Fabrice Ruiz
Exploring Acceptability Drivers of Oral Antibiotics in Children: Findings from an International Observational Study
Pharmaceutics
acceptability
antibiotic
formulation
pediatric
children
ClinSearch acceptability score test (CAST)
title Exploring Acceptability Drivers of Oral Antibiotics in Children: Findings from an International Observational Study
title_full Exploring Acceptability Drivers of Oral Antibiotics in Children: Findings from an International Observational Study
title_fullStr Exploring Acceptability Drivers of Oral Antibiotics in Children: Findings from an International Observational Study
title_full_unstemmed Exploring Acceptability Drivers of Oral Antibiotics in Children: Findings from an International Observational Study
title_short Exploring Acceptability Drivers of Oral Antibiotics in Children: Findings from an International Observational Study
title_sort exploring acceptability drivers of oral antibiotics in children findings from an international observational study
topic acceptability
antibiotic
formulation
pediatric
children
ClinSearch acceptability score test (CAST)
url https://www.mdpi.com/1999-4923/13/10/1721
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