Safety in the dispensing of foods for special medical purposes intended for the pediatric population: a case report

Authors

  • Montserrat Viñas-Bastart Unidad de Farmacia Clinica y Atención Farmacéutica. Facultad de Farmacia. Universidad de Barcelona https://orcid.org/0000-0002-8376-1088
  • Antonio J. Braza Unidad de Farmacia Clinica y Atención Farmacéutica. Facultad de Farmacia. Universidad de Barcelona
  • e Unidad de Farmacia Clinica y Atención Farmacéutica. Facultad de Farmacia. Universidad de Barcelona
  • Eduardo Luis Mariño Hernández Unidad de Farmacia Clinica y Atención Farmacéutica. Facultad de Farmacia. Universidad de Barcelona https://orcid.org/0000-0003-4386-9315
  • Maria Pilar Modamio Charles Unidad de Farmacia Clinica y Atención Farmacéutica. Facultad de Farmacia. Universidad de Barcelona https://orcid.org/0000-0003-3193-6285

DOI:

https://doi.org/10.60103/phc.v27.e903

Keywords:

Dispensing error; infant formulas; food allergy; patient safety; community pharmacy

Abstract

Introduction: Dispensing errors related to foods for special medical purposes (FSMPs) can have serious repercussions in the paediatric population with food allergies. A case of a dispensing error of FSMP for infants and children is described in order to identify the causes and propose preventive measures. 

Method: Case study analysis, in the field of community pharmacy. Sources of information: prescription and dispensing records.

Results: 1-month-old infant diagnosed with cow's milk protein allergy. A special milk infant formula without milk protein was prescribed, a lactose-free milk was dispensed and administered to the patient, resulting in a non-damage category D error.

Conclusions: Risk management in the professional dispensing of FSMPs is essential to enhance the safety of pediatric patients with food allergies. The case highlights the need for protocols, ongoing training and technological support in community pharmacies.

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References

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Published

2025-07-30

How to Cite

Viñas-Bastart , M., Braza, A. J., e, Mariño Hernández , E. L., & Modamio Charles , M. P. (2025). Safety in the dispensing of foods for special medical purposes intended for the pediatric population: a case report. Pharmaceutical Care España, 27. https://doi.org/10.60103/phc.v27.e903

Issue

Vol. 27 (2025)

Section

Casos clínicos

License

Copyright (c) 2025 Montserrat Viñas-Bastart , Antonio J. Braza, Cecilia F. Lastra , Eduardo L. Mariño , Pilar Modamio

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