Optimization of information service in the process of choosing an enterosorbent for acute intoxication in children

Introduction. Enterosorption is one of the safe and effective methods of treating acute intoxications and poisonings. Childhood poisonings are one of the main problems and pose a serious threat worldwide. The age and health of the child are determining factors in the selection and use of enterosorbents, and it is important that the pharmacist has sufficient reliable information on the drugs of choice for each age group.

Objective. To determine the criteria for choosing an enterosorbent in pediatric practice for acute poisoning (intoxication) to improve the quality of information services.

Material and methods. The research methodology included: 1) formation of a database of enterosorbents presented on the Russian pharmaceutical market; 2) determination of criteria for assessing the possibility and rationality of using enterosorbents in pediatric practice; 3) description of each enterosorbent using certain criteria; 4) assignment of points to enterosorbents and ranking of the obtained data; 5) formulation of conclusions. The following methods were used in the study: content analysis, statistical, graphical, and the method of scoring (ranking).

Results. Based on literature data, instructions for medical use and a list of types of information that must be provided during pharmaceutical counseling, 5 criteria were defined to assess the possibility and rationality of using enterosorbents in pediatric practice for poisoning. Enterosorbents were described using the criteria defined at the previous stage, and points were assigned. According to the results of the enterosorbent assessment, the following received the highest number of points: colloidal silicon dioxide, polymethylsiloxane polyhydrate and, in certain age groups, hydrolytic lignin.

Conclusion. As a result, the highest scores were received by medicinal products based on hydrated polymethylsiloxane, specifically Enterosgel (an oral paste, including a sweetened formulation). This medicinal product has a broad range of indications, can be used concomitantly with other medicinal products (provided administration times are separated), and demonstrates a high level of efficacy.