Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in Botswana
Abstract Background There is a dearth of data on polypharmacy in child and adolescent mental health in Africa, especially Botswana where children and adults are treated in the same facility by general adult psychiatrists. This study was therefore designed to assess the prevalence and the risk factor...
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| Format: | Article |
| Language: | English |
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BMC
2017-05-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12888-017-1347-6 |
| _version_ | 1830489019261124608 |
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| author | Anthony A. Olashore Ambrose Rukewe |
| author_facet | Anthony A. Olashore Ambrose Rukewe |
| author_sort | Anthony A. Olashore |
| collection | DOAJ |
| description | Abstract Background There is a dearth of data on polypharmacy in child and adolescent mental health in Africa, especially Botswana where children and adults are treated in the same facility by general adult psychiatrists. This study was therefore designed to assess the prevalence and the risk factors of psychiatric polypharmacy among children and adolescents treated at Sbrana Psychiatric Hospital, Lobatse, Botswana. Methods Data involving socio-demographics, diagnosis (using ICD-10 classification) and pharmacological treatment were retrieved from the records of 120 children and adolescents aged below 18 years, between 1 January 2012 and 31 July 2016, who presented with psychiatric disorders. They were analysed with univariate and multivariate models. Results The prevalence of psychiatric polypharmacy was 29.2%. Psychiatric co-morbidity (OR = 3.374, 95% CI: 1.177–9.9673) and psychotropic side effects (OR = 5.782, 95% CI: 1.636–20.430) were significantly associated with polypharmacy after regression analysis. Conclusion Psychiatric co-morbidity and psychotropic side effects were significant risk factors for polypharmacy in Botswana. |
| first_indexed | 2024-12-21T19:29:55Z |
| format | Article |
| id | doaj.art-aa00c2953bd94f04930dfcf53fa00648 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-21T19:29:55Z |
| publishDate | 2017-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-aa00c2953bd94f04930dfcf53fa006482022-12-21T18:52:44ZengBMCBMC Psychiatry1471-244X2017-05-011711510.1186/s12888-017-1347-6Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in BotswanaAnthony A. Olashore0Ambrose Rukewe1Department of Psychiatry, University of BotswanaDepartment of Anesthesia and Critical Care, University of BotswanaAbstract Background There is a dearth of data on polypharmacy in child and adolescent mental health in Africa, especially Botswana where children and adults are treated in the same facility by general adult psychiatrists. This study was therefore designed to assess the prevalence and the risk factors of psychiatric polypharmacy among children and adolescents treated at Sbrana Psychiatric Hospital, Lobatse, Botswana. Methods Data involving socio-demographics, diagnosis (using ICD-10 classification) and pharmacological treatment were retrieved from the records of 120 children and adolescents aged below 18 years, between 1 January 2012 and 31 July 2016, who presented with psychiatric disorders. They were analysed with univariate and multivariate models. Results The prevalence of psychiatric polypharmacy was 29.2%. Psychiatric co-morbidity (OR = 3.374, 95% CI: 1.177–9.9673) and psychotropic side effects (OR = 5.782, 95% CI: 1.636–20.430) were significantly associated with polypharmacy after regression analysis. Conclusion Psychiatric co-morbidity and psychotropic side effects were significant risk factors for polypharmacy in Botswana.http://link.springer.com/article/10.1186/s12888-017-1347-6PolypharmacyChildren and adolescentsPsychiatric disorders |
| spellingShingle | Anthony A. Olashore Ambrose Rukewe Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in Botswana BMC Psychiatry Polypharmacy Children and adolescents Psychiatric disorders |
| title | Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in Botswana |
| title_full | Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in Botswana |
| title_fullStr | Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in Botswana |
| title_full_unstemmed | Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in Botswana |
| title_short | Polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in Botswana |
| title_sort | polypharmacy among children and adolescents with psychiatric disorders in a mental referral hospital in botswana |
| topic | Polypharmacy Children and adolescents Psychiatric disorders |
| url | http://link.springer.com/article/10.1186/s12888-017-1347-6 |
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