What is Underdosing?
Underdosing refers to the administration of a drug in a quantity that is less than the prescribed or required amount. In
pediatrics, this issue is particularly critical because children have different
pharmacokinetics compared to adults, and underdosing can lead to suboptimal therapeutic outcomes.
Miscommunication: Misunderstanding between healthcare providers and caregivers can lead to incorrect dosing.
Fear of Side Effects: Caregivers may intentionally give lower doses out of fear of potential side effects.
Complex Dosage Calculations: Pediatric doses often require weight-based calculations, which can be complex and prone to error.
Inaccurate Measurement Tools: Using household utensils instead of proper measuring devices can result in inaccurate dosing.
Education: Educating caregivers on the importance of accurate dosing and the risks of underdosing.
Clear Instructions: Providing clear and precise
dosing instructions that are easy to understand.
Proper Tools: Ensuring caregivers have access to accurate measuring devices such as oral syringes or droppers.
Regular Follow-up: Conducting regular follow-up appointments to monitor treatment efficacy and adherence.
Therapeutic Failure: The primary condition may not be adequately treated, leading to worsened health outcomes.
Development of Resistance: In the case of antibiotics, underdosing can contribute to the development of resistant strains of bacteria.
Increased Healthcare Costs: Inadequate treatment can result in prolonged illness, requiring more extensive and expensive interventions later.
Emotional and Psychological Impact: Chronic or unresolved illness can lead to emotional and psychological stress for both the child and their family.
Electronic Health Records (EHRs): EHRs can include dosing calculators and alerts to help healthcare providers prescribe accurate doses.
Mobile Apps: There are mobile applications designed to help caregivers and healthcare providers calculate and administer the correct doses.
Smart Syringes: These devices can assist in ensuring that the correct dose is administered each time.
Conclusion
Underdosing in pediatrics is a significant concern with potentially serious consequences. By understanding the causes and implementing strategies to prevent underdosing, healthcare providers and caregivers can ensure that pediatric patients receive the most effective and safe treatments.
