Spoonfuls can lead to medicine errors, study finds

by Lindsey Tanner

A study says using spoons as measurements for medicine can lead to potentially dangerous dosing mistakes.

The results, published online Monday in Pediatrics, underscore recommendations that droppers and that measure in milliliters be used for —not spoons.

The study involved nearly 300 , mostly Hispanics, with children younger than 9 years old. The were treated for various illnesses at two New York City emergency rooms and sent home with prescriptions for liquid medicines, mostly antibiotics.

Parents were contacted afterward and asked by phone how they had measured the prescribed doses. They also brought their measuring devices to the researchers' offices to demonstrate doses they'd given their kids.

Parents who used spoonfuls "were 50% more likely to give their children incorrect doses than those who measured in more precise milliliter units," said Dr. Alan Mendelsohn, a co-author and associate professor at New York University's medical school.

Incorrect doses included giving too much and too little, which can both be dangerous, he said. Underdosing may not adequately treat an illness and can lead to medication-resistant infections, while overdoses may cause illness or side effects that can be life-threatening. The study doesn't include information on any ill effects from dosing mistakes.

Almost one-third of the parents gave the wrong dose and 1 in 6 used a kitchen spoon rather than a device like an oral syringe or dropper that lists doses in milliliters.

Less than half the prescriptions specified doses in milliliters. But even when they did, the medicine bottle label often listed doses in teaspoons. Parents often assume that means any similar-sized kitchen spoon, the authors said.

"Outreach to pharmacists and other health professionals is needed to promote the consistent use of milliliter units between and bottle labels," the authors said.

Related Stories

More than half million kids get bad drug reactions

date Sep 28, 2009

(AP) -- More than half a million U.S. children yearly have bad reactions or side effects from widely used medicines that require medical treatment and sometimes hospitalization, new research shows.

Recommended for you

Link between toddler sleep patterns and behaviour at 5

date Apr 15, 2015

Toddlers who sleep less than 10 hours a night or wake frequently are more likely to have emotional and behavioural problems at the age of five, according to a study from the Norwegian Institute of Public ...

Quality improvement intervention cuts lost OR time

date Apr 14, 2015

(HealthDay)—Significant reductions can be made in operating room (OR) time lost due to cancellation on the day of surgery (DoSC), according to a study published online April 13 in Pediatrics.

Know the signs of child abuse

date Apr 13, 2015

(HealthDay)—A report of child abuse is made every 10 seconds in the United States, and more than 1,600 children die each year from abuse or neglect, an expert says.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.