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1.
Arq. ciências saúde UNIPAR ; 26(1): 23-32, Jan-Abr. 2022.
Article in Portuguese | LILACS | ID: biblio-1362667

ABSTRACT

O descarte inadequado de medicamentos pode levar a impactos ambientais negativos e deve ser considerado um problema de saúde pública. O presente estudo teve como objetivo levantar dados quantitativos e qualitativos relacionados ao perfil dos medicamentos descartados no município de Governador Valadares - MG. O trabalho foi desenvolvido nas UAPS/ESF que possuíam farmácias, e também na Farmácia Central/Policlínica Municipal. Nesses locais, foi realizada uma análise dos medicamentos descartados no período de julho de 2017 a maio de 2018. Por meio dos dados obtidos nesse período foi possível perceber que as principais classes de medicamentos descartadas foram os inibidores da enzima conversora de angiotensina, antagonistas da angiotensina II, agentes betabloqueadores, diuréticos, hipoglicemiantes, contraceptivos hormonais e agentes modificadores de lipídeos. Além disso, foi realizada uma ação de educação em saúde e aplicado um questionário semiestruturado aos usuários participantes dos grupos operativos. Dos 34 usuários respondentes do questionário, 23 (69,70%) não tinham acesso a informação sobre o local correto de descarte e armazenamento de medicamentos. Após a ação de educação em saúde verificou-se um aumento no quantitativo de medicamentos descartados pelos usuários nas UAPS/ESF Mãe de Deus I e II, Altinópolis III e IV, Santa Rita II, São Pedro I e II e Esperança e Nossa Senhora das Graças. O trabalho desenvolvido permitiu apresentar dados relevantes para a gestão municipal demonstrando a importância do farmacêutico no cuidado em saúde e o caráter epidemiológico local da prevalência das doenças crônico não transmissíveis.


The inadequate disposal of drugs can lead to negative environmental impacts and should be treated as a public health problem. This study aimed at surveying quantitative and qualitative data related to the profile of drugs discarded in the city of Governador Valadares - MG. The work was developed in the UAPS / ESF that had pharmacies, and also in the Central Pharmacy/Municipal Polyclinic. In these locations, an analysis of the drugs discarded between July 2017 and May 2018 was carried out. Through the data obtained in this period, it was possible to notice that the main classes of drugs discarded were angiotensin-converting enzyme inhibitors, angiotensin II antagonists, beta-blocking agents, diuretics, hypoglycemic agents, hormonal contraceptives, and lipid-modifying agents. In addition, a health education action was carried out and a semi-structured questionnaire was applied to users participating in the operating groups. From the 34 users who responded the questionnaire, 23 (69.70%) did not have access to information on the correct place to dispose and store medicines. After the health education action, there was an increase in the amount of drugs discarded by users in the UAPS/ESF Mãe de Deus I and II, Altinópolis III and IV, Santa Rita II, São Pedro I and II, and Esperança and Nossa Senhora das Graças. The work carried out made it possible to present relevant data for municipal management, demonstrating the importance of the pharmacist in health care and the local epidemiological character of the prevalence of chronic non-communicable diseases.


Subject(s)
Humans , Male , Female , Pharmacies/supply & distribution , Pharmaceutical Preparations , Patients , Pharmacists/supply & distribution , Tablets/supply & distribution , Angiotensin-Converting Enzyme Inhibitors/supply & distribution , Health Centers , Public Health/education , Health Education , Municipal Management/legislation & jurisprudence , Delivery of Health Care , Diabetes Mellitus/drug therapy , Drug Storage , Environment , Hypertension/drug therapy , Hypoglycemic Agents/supply & distribution , Lipids/supply & distribution
2.
Braz. J. Pharm. Sci. (Online) ; 58: e18730, 2022. tab
Article in English | LILACS | ID: biblio-1364410

ABSTRACT

Abstract Pharmaceutical education should enable the development of competences for community pharmacy practice, which is an important field for the pharmacist workforce. The aim of this study was to evaluate the competences perceived by pharmacy interns from a Brazilian pharmacy school for community pharmacy practice. This study adopted a combined quantitative and qualitative approach. The study cohort included undergraduate students who undertook internships in community pharmacy in the final year of the pharmacy course. Students responded to an 11-item structured questionnaire according to a five-point Likert scale that included perceptions of their competences for community pharmacy practice. Among the 693 possible answers, 605 (87.3%) agreed that the course promoted the development of competences for professional practice in community pharmacy. Less than 70% of students perceived themselves as prepared to respond to symptoms and provide non-prescription medicines. Qualitative analysis of the comments revealed three themes: the need to improve patient information skills, improve practice as a member of a health care team, and improve dispensing according to legal requirements. These findings may support improvements in undergraduate pharmacy programs, such as the inclusion of experiential learning, active learning methods, interprofessional education, and development of clinical skills.


Subject(s)
Humans , Male , Female , Perception/ethics , Pharmacy , Professional Practice/ethics , Schools, Pharmacy/classification , Students, Pharmacy/classification , Education, Pharmacy , Evaluation Studies as Topic , Patient Care Team/trends , Pharmacists , Professional Competence/standards , Surveys and Questionnaires , Clinical Competence/standards , Community Pharmacy Services/statistics & numerical data
3.
Braz. J. Pharm. Sci. (Online) ; 58: e18849, 2022. tab
Article in English | LILACS | ID: biblio-1360168

ABSTRACT

Abstract To assess the performance indicators for pharmaceutical services (PS) in primary health care (PHC), the level of satisfaction with pharmacy services among users and managers / pharmacists' impressions in relation to the findings were evaluated. The study used mixed methods, including a retrospective and descriptive study of the performance indicators for PS in PHC, an observational study on the level of satisfaction and a qualitative study of users' perception of pharmacy services at Health Units. Managers and pharmacists' impressions of the study results were also collected. Only 44.4% of pharmacies had a full-time pharmacist. From the establishments visited, 5.3% did not have an air-conditioned environment, and only 33.3% of the items essential to the Good Practices of Storage of Medicines and Supplies criteria were fulfilled. Although 77.9% of the prescribed medicines were dispensed, it did not reach the 80% standard. The satisfaction level of users was 3.2±0.6, indicating dissatisfaction with pharmacies' services. By means of an evaluation of each item within the questionnaire, it was possible to observe that variables related to pharmaceutical care presented low scores in relation to other domains, thus evidencing the fragility of the pharmaceutical- patient relationship in users' perception. Managers and pharmacists suggested that these results were related to the inadequate physical infrastructure of pharmacies, work overload, lack of recognition and undervaluation of pharmacists, lack of interaction within the PHC team, high turnover of pharmacists, and lack of PS prioritization by the administration. PS in PHC has structural and organizational weaknesses that require changes. In general, users are dissatisfied with pharmacies' services, especially with pharmaceutical care.


Subject(s)
Humans , Male , Female , Patients , Personal Satisfaction , Pharmacists/classification , Pharmaceutical Services/organization & administration , Primary Health Care/classification , Patient Satisfaction/statistics & numerical data , Consumer Behavior , Emergency Medical Services/organization & administration , Health Manager , Organization and Administration/statistics & numerical data , Pharmacies , Diagnosis of Health Situation , Surveys and Questionnaires , Equipment and Supplies/supply & distribution , Health Research Evaluation
4.
Rev. APS ; 24(1): 16-33, 2021-10-18.
Article in Portuguese | LILACS | ID: biblio-1359384

ABSTRACT

Os antimicrobianos são uma classe de medicamentos capaz de inibir ou matar bactérias, fungos e protozoários mediante interações com estruturas dos micro-organismos. A crescente resistência microbiana a esses medicamentos decorrente de seu uso indiscriminado se constitui como um dos problemas de saúde pública mais relevantes da atualidade. Diante disso, o objetivo desta pesquisa foi avaliar a prescrição e o perfil de utilização de antimicrobianos na Farmácia Básica de Encanto/RN. Trata-se de um estudo transversal, quantitativo do tipo descritivo. A coleta de dados foi realizada por meio de questionário aplicado no período de julho de 2018 a janeiro de 2019. Foram entrevistados 100 usuários selecionados com base nos critérios de inclusão e exclusão. Os resultados apontaram a prevalência de pessoas do sexo feminino (70%), casadas ou em união estável (66%), com faixa etária entre 31 e 60 anos (60%). A maioria dos entrevistados tinham baixa escolaridade (45%) e renda familiar de um salário mínimo (41%). Os antimicrobianos dispensados com maior frequência foram amoxicilina (34,6%), ciprofloxacino (25,0%) e azitromicina (22,1%). Com relação às inconformidades das prescrições, 38% apresentaram falta de dados, sendo a mais recorrente a ausência da duração do tratamento. Foram identificadas possíveis interações medicamentosas em 9% das prescrições. Os resultados apresentados evidenciam a importância da atuação do farmacêutico na farmácia comunitária, tanto na sensibilização dos prescritores com relação à escolha e prescrição adequada destes medicamentos quanto na orientação dos pacientes com vistas à promoção do uso racional de antimicrobianos.


Antimicrobials are a class of medications able to inhibit or kill bacterium, fungi, and protozoa through the interactions with the structures of the microorganisms. The growing microbial resistance on these medicines resulting from their indiscriminate use constitutes one of the more relevant public health problems nowadays. In addition, the main point of this research was to evaluate the prescriptions and utilization profile of antimicrobials in the basic pharmacy of Encanto/RN. It is a cross-sectional study, quantitative of the descriptive type. The data collection was realized through a questionnaire applied in July 2018 and January 2019. We interviewed 100 selected people based on inclusion and exclusion. The results show the prevalence of females (70%), married or in a stable union (66%), with an age group between 31 and 60 years old (60%). Most interviewed people had a low education level (45%) and family income (41%). The antimicrobials dispensed most often were amoxicillin (25.0%), ciprofloxacin (25.0%), and azithromycin (22.1%). Regarding the nonconformities of the prescriptions, 38% presents a lack of data, with the absence of the treatment duration being the most recurrent. Possible drug interactions were identified in 9% of the prescriptions. The results presented evidence of the importance of the pharmacist work on the community pharmacy, both in the sensitization of the prescribers concerning the appropriate choice and the prescription of these medicines with the orientation of patients to promote the rational use of antimicrobials.


Subject(s)
Pharmacists
5.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 13: 995-1000, jan.-dez. 2021. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1254998

ABSTRACT

Objetivo: desenvolver atividades a fim de facilitar a reinserção social e no mercado de trabalho de dependentes químicos residentes da comunidade terapêutica Fazenda Paraíso, um centro de recuperação de toxicômanose alcoólatras do noroeste do estado do Rio Grande do Sul. Método: trata-se de um estudo de abordagem qualiquantitativa, com caráter descritivo. Quinze internos com idade entre 16 e 49 anos participaram de oficinas com cunho teórico/prático ministradas por docentes e acadêmicos do curso de graduação de Farmácia. Resultados: a maioria dos participantes estava com idade acima dos 30 anos, e 80% tinham somente formação em educação básica. Constatou-se que o emprego é capaz de gerar estabilidade financeira, além de proporcionar dignidade e trazer reconhecimento por parte da sociedade, sendo então importante para o toxicômano. Conclusão: o profissional farmacêutico pode ser um grande aliado na reinserção do dependente químico na sociedade, seja pela ministração de oficinas ou palestras de educação em saúde


Objective: to develop activities that facilitate social and labor market reintegration of drug addicts residing in Fazenda Paraíso, a drug and alcohol rehabilitation center in the northwest of Rio Grande do Sul, Brazil. Methods: this qualitative/quantitative study of descriptive character included 15 interns aged 16 to 49 years who participated in workshops of theoretical/practical nature taught by educators of the Pharmacy graduation course. Results: most participants were over 30 years old, and 80% had only basic education. Employment was shown to allow for financial stability, as well as to provide dignity and recognition by society, and it is considered important for drug addicts. Conclusion: pharmacy professionals can be great allies in the reintegration of drug addicts in society by providing workshops or lectures on health education


Objetivo: desarrollar actividades para facilitar la reinserción social y laboral de los toxicómanos que residen en la comunidad terapêutica Fazenda Paraíso, un centro para la recuperación de toxicómanos y alcohólicos en el noroeste del estado de Rio Grande do Sul. Método: estudio cualitativo y cuantitativo con carácter descriptivo. 15 pasantes de entre 16 y 49 años participaron en talleres teórico-prácticos impartidos por profesores y académicos del curso de graduación de Farmacia. Resultados: la mayoría de los participantes tenían más de 30 años, y el 80% solo tenían la educación básica. Se observó que el empleo es capaz de generar estabilidad financiera, además de proporcionar dignidad y reconocimiento por parte de la sociedad, lo cual es importante para el toxicómano. Conclusión: el profesional farmacéutico puede ayudar en la reintegración del toxicómano en la sociedad, por medio de la impartición de cursos o conferencias sobre la educación para la salud


Subject(s)
Humans , Male , Adolescent , Adult , Middle Aged , Young Adult , Employment, Supported/methods , Substance Abuse Treatment Centers , Education, Professional/methods , Drug Users/education , Alcoholics/education , Pharmacists , Professional-Patient Relations , Health Education , Surveys and Questionnaires , Educational Status
6.
Clin. biomed. res ; 41(4): 299-305, 20210000. graf
Article in Portuguese | LILACS | ID: biblio-1349517

ABSTRACT

Introdução: O farmacêutico clínico já está bem estabelecido em algumas instituições e muitos serviços de saúde contam com este profissional em suas equipes, entretanto, poucos conseguem sistematizar o seu trabalho e mapear os dados das atividades desenvolvidas, demonstrando a relevância do profissional na equipe de saúde. O objetivo deste trabalho foi avaliar o acompanhamento clínico-farmacêutico em uma unidade de internação adulto-cirúrgica em um hospital universitário de Porto Alegre. Métodos: Estudo descritivo retrospectivo que quantificou as principais atividades do farmacêutico clínico em uma unidade de internação adulto-cirúrgica no período de janeiro a maio de 2019. Este projeto foi aprovado no Comitê de Ética em Pesquisa da referida instituição. Resultados: 859 pacientes foram admitidos na unidade cirúrgica avaliada, dos quais 490 foram revisados pelo farmacêutico na admissão hospitalar, correspondendo à taxa média de 57,27%. A taxa média de conciliação medicamentosa realizada foi de 14,83%, totalizando 73 pacientes conciliados por entrevista. 361 intervenções farmacêuticas foram realizadas no período estudado, sendo 54 relacionadas a conciliação medicamentosa, com o número total de adesões de 232. As principais especialidades cirúrgicas que internam pacientes na unidade em questão foram a Ortopedia, Cirurgia do Aparelho Digestivo, Urologia e Cirurgia Vascular. Conclusões: Foi possível avaliar o acompanhamento clínico farmacêutico em uma unidade de internação adulto-cirúrgica em um hospital universitário de Porto Alegre, através da quantificação das taxas de pacientes revisados e de conciliação medicamentosa, do número de intervenções farmacêuticas e suas adesões, além de caracterizar as principais especialidades médicas cirúrgicas envolvidas. (AU)


Introduction: Clinical pharmacists are already well established in some institutions, and many health services have these professionals in their teams. However, few are able to systematize their work and map data from the developed activities, demonstrating the relevance of these professionals in the health team. This study aimed to evaluate the clinical pharmacist follow-up in an adult surgical inpatient unit in a university hospital in Porto Alegre. Methods: This is a retrospective, descriptive study that quantified the main activities of the clinical pharmacist in an adult surgical inpatient unit from January to May 2019. This project was approved by the Research Ethics Committee of the institution. Results: Of 859 patients admitted to the s rgical unit, 490 were reviewed by the pharmacist on hospital admission, corresponding to an average rate of 57.27%. The average medication reconciliation rate was 14.83%, totaling 73 patients reconciled per interview. Of 361 pharmaceutical interventions performed during the study period, 54 were related to medication reconciliation, and the total number of adhesions was 232. The main surgical specialties associated with admission to the study unit were Orthopedics, Digestive System Surgery, Urology, and Vascular Surgery. Conclusions: It was possible to evaluate the clinical pharmacist follow-up in an adult surgical inpatient unit in a university hospital in Porto Alegre by quantifying the rates of reviewed patients and medication reconciliations as well as the number of pharmaceutical interventions and their adherences, in addition to characterizing the main medical-surgical specialties involved. (AU)


Subject(s)
Pharmaceutical Services/statistics & numerical data , Hospitals, University , Pharmacists , Pharmaceutical Preparations , Medication Reconciliation/statistics & numerical data , Patient Care
7.
Braz. J. Pharm. Sci. (Online) ; 57: e19164, 2021. tab
Article in English | LILACS | ID: biblio-1350233

ABSTRACT

In Nigeria, drug financing by the public has been challenged by financial constraints through public fund due to a limited fund available to the government to meet all its demands. The objectives of this study were to determine the variability of the hospital patient prices of same drugs under the PublicPrivate Partnership (PPP) and in Private Retail Community Pharmacy (PRCP), and to investigate the perceived efficiency and effectiveness of the PPP by comparing it with the Drug Revolving Fund (DRF) model in drug supply financing. This study was conducted in Nigeria utilizing a mixed method. Mann-Whitney U test analysis was used to compare the median drug price of the two facilities. The majority (76.19%) of the drugs were sold at a cheaper rate in the hospital than what was obtained in the PRCP with no significance difference (p > 0.05). Dominant responses from the focused group discussions supported the PPP model. This study shows that the median patient price of the basket of matched pairs of same drugs in the hospital under the PPP and in the PRCP was identical. Overall, the participants were of the opinion that the PPP model was more efficient and effective than DRFin the financing drug supply


Subject(s)
Pharmacists/ethics , Drug Price , Public-Private Sector Partnerships , Financing, Government/organization & administration , Hospitals, Public/statistics & numerical data , Patients , Pharmacies/organization & administration , Statistics, Nonparametric , Supply , Financial Management/classification , Government , Nigeria/ethnology
8.
J. Health Biol. Sci. (Online) ; 9(1): 1-8, 2021. tab
Article in Portuguese | LILACS | ID: biblio-1352379

ABSTRACT

Objetivo: avaliar o perfil e a frequência de erros de dispensação de medicamentos entre os anos de 2009 e 2019 em um hospital de médio porte. Métodos: neste trabalho descritivo documental de abordagem quantitativa, os medicamentos envolvidos em erros de dispensação foram classificados de acordo com Anatomical Therapeutic Chemical (ATC) e medicamentos potencialmente perigosos. E os erros foram categorizados segundo guia da Política Nacional de Segurança do Paciente (PNSP). Resultados: os resultados demonstraram que os erros aumentaram no decorrer dos anos, apresentando 28 erros/mês no primeiro ano e 58,6 erros/mês no último, e que os tipos de erros mais frequentes são de omissão do envio (n=1532; 39,0%) e dispensação com dose ou quantidade errada (n=827; 21,0%). A classe de medicamento prescrita mais envolvida em erros foi a de agentes anti-infecciosos de uso sistêmico (n=806; 20,5%). Entre os medicamentos potencialmente perigosos, os de ação no sistema nervoso (n=271; 32,8%) foram os mais dispensados de forma errada, tendo, também, como principal tipo de erro, a omissão, e seu principal representante foi o diazepam (n=84; 31,0%). Conclusões: a quantidade de erros de dispensação (mais de um por dia, em média) evidencia a importância do profissional farmacêutico como potencializador para transformar esse cenário, tanto no âmbito gerencial ao propor barreiras de segurança, quanto clínico, ao acompanhar o processo de uso dos medicamentos.


Objetctive: to evaluate the profile and frequency of medication dispensing errors between the years of 2009 to 2019 in a medium-sized hospital. Methods: In this descriptive documentary work of quantitative approach, the drugs involved in dispensing errors were classified according to the Anatomical Therapeutic Chemical (ATC) and potentially dangerous drugs. The errors were categorized according to the guidelines of the National Policy for Patient Safety (NPPS). Results: The results showed that errors increased over the years, presenting 28 errors/month in the first year and 58.6 errors/month in the last, and that the most frequent types of errors are shipment omission (n = 1532; 39.0%) and dispensing with wrong dose or amount (n = 827; 21.0%). The medication class prescribed most involved in errors was anti-infective agents for systemic use (n = 806; 20.5%). Among the potentially dangerous drugs, those with action on the nervous system (n = 271; 32.8%) were the most misdispensed, also having omission as the main type of error, and its main representative was diazepam (n = 84; 31.0%). Conclusions: The amount of dispensing errors (more than one per day, on average) highlights the importance of the professional pharmacist as a potential generator to transform this scenario, both managerially, by proposing safety barriers, and clinically, by monitoring the process of medication use.


Subject(s)
Medication Errors , Pharmacists , Pharmacy Service, Hospital , Pharmaceutical Preparations , Drugs from the Specialized Component of Pharmaceutical Care , Patient Safety , Potentially Inappropriate Medication List
9.
Rev. colomb. gastroenterol ; 35(4): 485-505, dic. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1156331

ABSTRACT

Resumen Objetivo: identificar y caracterizar las acciones/intervenciones realizadas desde los servicios farmacéuticos en el abordaje de pacientes con hepatitis C y proponer una vía clínica para la gestión de la enfermedad que incluya la participación del farmacéutico. Método: revisión sistemática en PubMed y EMBASE empleando los términos "Hepatitis C", "Pharmaceutical Services", "Community Pharmacy Services", y "Pharmacies"; artículos publicados hasta el 31 de marzo de 2019, cuyo tema central fueran las actividades realizadas por los servicios farmacéuticos en la atención a pacientes con hepatitis C. Se recopiló información sobre la actividad realizada, responsable, si la intervención era individual o colectiva y el entorno de aplicación. Las actividades se agruparon en promoción y prevención, gestión administrativa, atención farmacéutica, investigación y otros servicios de apoyo. De acuerdo con esto, se propuso una vía clínica para el manejo de la hepatitis C con participación del farmacéutico. Resultados: se incluyeron 60 artículos, principalmente de estudios descriptivos. La mayoría de las publicaciones reportó intervenciones realizadas en Estados Unidos y España. Se identificó la participación del personal farmacéutico en cada una de las etapas del proceso de atención, que incluye la provisión de servicios de reducción del daño, tamizaje del virus de la hepatitis C, vinculación de los pacientes al tratamiento, prescripción de medicamentos y órdenes de laboratorio. Conclusiones: se identifican y caracterizan las acciones/intervenciones realizadas desde el servicio farmacéutico para el manejo de la hepatitis C y se propone una vía clínica en la que se integran los servicios profesionales farmacéuticos a las demás actividades de la atención del paciente.


Abstract Objective: To identify and characterize the actions/interventions carried out by pharmaceutical services to approach patients with Hepatitis C and propose a clinical pathway for managing the disease that involves pharmacists. Methodology: A systematic review was conducted in PubMed and EMBASE using the terms "Hepatitis C," "Pharmaceutical Services," "Community Pharmacy Services," and "Pharmacies." Articles published until March 31, 2019, whose central topic was the activities carried out by the pharmaceutical services in the care of patients with Hepatitis C, were included. Information on the activity performed, the person in charge, whether the intervention was individual or collective, and the implementation environment was collected. The activities were grouped into promotion and prevention, administrative management, pharmaceutical care, research, and other support services. Based on the above, a clinical pathway for the management of Hepatitis C involving pharmacists was proposed. Results: Sixty articles were included, mainly descriptive studies. Most publications reported interventions in the United States and Spain. Pharmaceutical staff involvement was identified at each stage of the care process, including the provision of harm reduction services, Hepatitis C virus screening, enrolling patients to treatment, medication prescription, and laboratory orders. Conclusions: The actions/interventions carried out by the pharmaceutical service for Hepatitis C management were identified and characterized. A clinical pathway has been proposed to integrate professional pharmaceutical services with other patient care activities.


Subject(s)
Humans , Pharmacists , Role , Hepatitis C , Patient Care , Pharmaceutical Services , Therapeutics
10.
Espaç.saúde ; 21(2): 26-33, 20/12/2020. ilus
Article in Portuguese | LILACS | ID: biblio-1354067

ABSTRACT

A atuação do farmacêutico em análises clínicas está diretamente relacionada com o estudo e o diagnóstico da saúde do paciente. O presente artigo objetivou compreender a percepção de farmacêuticos analistas clínicos em relação à sua formação acadêmica. A pesquisa contou com a participação de farmacêuticos que atuam como analistas clínicos em um laboratório. Os dados coletados foram analisados pela técnica de análise de conteúdo e divididos em duas categorias: formação acadêmica e formação em análises clínicas. O resultado mostra que as aulas práticas durante a graduação são de suma importância, pois propiciam que o futuro farmacêutico analista clínico desenvolva habilidades e atitudes atreladas ao conhecimento. Constatou-se também que os conhecimentos teóricos propiciam o embasamento para a prática e que a formação do farmacêutico analista clínico deve priorizar o contexto em que estará inserido de forma proativa na equipes multiprofissionais e na sociedade.


The work of the medical laboratory scientist is directly related to the study and diagnosis of the patient's health. This study aimed to understand the opinion of medical laboratory scientists regarding their academic training. The research had the participation of pharmacists who work as medical laboratory scientists. The collected data were analyzed using the content analysis technique and divided into two categories: academic training and clinical analysis training. The result shows that practical classes during the undergraduate course are of paramount importance, as they allow the future medical laboratory scientist to develop skills and attitudes linked to knowledge. It was also found that theoretical knowledge provides the basis for the practice and that the training of the medical laboratory scientist shall prioritize the context where he/she will be proactively inserted in the multiprofessional teams and in society.


El desempeño del farmacéutico en el análisis clínico está directamente relacionado con el estudio y el diagnóstico de la salud del paciente. Este artículo tuvo como objetivo comprender la percepción de los analistas clínicos farmacéuticos en relación con sus antecedentes académicos. A la investigación asistieron farmacéuticos que actúan como analistas clínicos en un laboratorio. Los datos recopilados se analizaron utilizando la técnica de análisis de contenido y se dividieron en dos categorías: capacitación académica y capacitación en análisis clínico. El resultado muestra que las clases prácticas durante la graduación son de suma importancia, ya que permiten al futuro analista clínico farmacéutico desarrollar habilidades y actitudes vinculadas al conocimiento. También se descubrió que el conocimiento teórico proporciona la base para la práctica y que la formación del analista clínico farmacéutico debe priorizar el contexto en el que se insertará proactivamente en los equipos multiprofesionales y en la sociedad.


Subject(s)
Humans , Pharmacists , Clinical Laboratory Techniques , Education, Pharmacy , Professional Training
11.
Rev. chil. infectol ; 37(4): 343-348, ago. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1138557

ABSTRACT

Resumen Introducción: La participación del farmacéutico en el programa de gerenciamiento de antimicrobianos (PGAn) se ha asociado con mejores resultados. Objetivos: Describir las intervenciones farmacéuticas y desenlaces clínicos de un PGAn centrado en antimicrobianos de amplio espectro, en pacientes hospitalizados en una institución de alta complejidad. Método: Estudio observacional, prospectivo, en pacientes ingresados a una clínica de alta complejidad entre agosto de 2016 y septiembre de 2017. En el entorno de un PGAn, un farmacéutico con entrenamiento en enfermedades infecciosas evaluó e intervino la antibioticoterapia, en conjunto con el médico infectólogo, quien realizó la modificación de la antibioticoterapia pertinente. Adicionalmente, se documentó el desenlace clínico. Resultados: Se incluyeron 258 pacientes. El 16,1% de los antimicrobianos se valoró como no indicado. Se realizaron 126 intervenciones farmacéuticas con 82,5% de aceptación. El desenlace principal fue la curación clínica y/o microbiológica de la patología infecciosa. Conclusión: El problema asociado al antimicrobiano con mayor frecuencia en la población de estudio fue el espectro antimicrobiano con respecto a la sensibilidad del microorganismo. Siendo consecuentes, el de-escalamiento fue la intervención farmacéutica con mayor prevalencia. Se alcanzó un porcentaje de aceptación similar a otros estudios, de las intervenciones realizadas por el farmacéutico en el entorno del PGAn. La curación clínica y/o microbiológica fue la principal causa de egreso hospitalario.


Abstract Background: The pharmacist's participation in the antimicrobial stewardship program (AMSP) has been associated with better outcomes. Aims: To describe the pharmaceutical interventions and clinical outcomes of a PGA focused on broad-spectrum antibiotics in hospitalized patients in a tertiary healthcare setting. Method: Prospective observational study in patients admitted to a tertiary healthcare setting between August-2016 and September-2017. In the context of a AMSP, a pharmacist training in infectious diseases evaluated and intervened antibiotic therapy, with the infectious disease specialist, who performed relevant modification of the antibiotic therapy. In addition, the clinical outcome was evaluated and documented. Results: 258 patients were included. 16.1% of antibiotics were assessed as not indicated. A total of 126 pharmaceutical interventions were performed with 82.5% acceptance. The main outcome was the clinical and/or microbiological cure of infection. Conclusion: The problem associated with the antibiotic most frequently in the study population was the antimicrobial spectrum. Being consistent, de-escalation was the pharmaceutical intervention with the highest prevalence. A high percentage of acceptance of the interventions performed by the pharmacist in the environment of the PGAn was considered. Clinical and/or microbiological cure was the main cause of hospital discharge.


Subject(s)
Humans , Antimicrobial Stewardship , Pharmacists , Pharmaceutical Preparations , Prospective Studies , Anti-Bacterial Agents/therapeutic use
12.
Rev. cuba. salud pública ; 46(2): e1873, abr.-jun. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1126865

ABSTRACT

Introducción: El seguimiento farmacoterapéutico es una de las actividades orientadas al paciente que debe desarrollar la farmacia comunitaria para disminuir la morbilidad y la mortalidad asociada al uso de medicamentos. Su implementación representa una oportunidad de optimizar la farmacoterapia y de mejorar la calidad de vida de los pacientes que reciban el servicio. Objetivo: Evaluar las condiciones básicas estructurales para la implementación del servicio de seguimiento farmacoterapéutico en las farmacias comunitarias de los municipios Diez de Octubre y Cerro de la provincia de La Habana. Métodos: Estudio descriptivo transversal realizado en el periodo de febrero-abril de 2016. Se evaluaron 44 farmacias comunitarias del municipio Diez de Octubre y 22 del municipio Cerro. Se empleó una guía de evaluación validada por expertos según Moriyama, que exploró cinco dimensiones y diez aspectos. Resultados: El municipio Cerro fue el menos favorable con menos dimensiones cumplidas. Para los dos municipios la dimensión de menor afectación fue la de recursos materiales y la de mayor la de servicios. Otras dimensiones afectadas fueron las de equipamiento, infraestructura y la de recursos humanos. La farmacia 710 de Diez de Octubre cumplió con la mayoría de las dimensiones evaluadas, excepto el acceso al Portal de la red Infomed. Conclusiones: Las farmacias comunitarias de los municipios Diez de Octubre y Cerro no tienen las condiciones básicas estructurales para implementar el servicio de seguimiento farmacoterapéutico(AU)


Introduction: Pharmacotherapy follow-up is one of the activities aimed to patients that must develop the community pharmacies to reduce morbidity and mortality associated to medications use. Its implementation represents an opportunity to optimize pharmacotherapy and to improve the quality of life for patients receiving the service. Objective: To evaluate the basic structural conditions for the implementation of the service of pharmacotherapy follow-up at the community pharmacies of 10 de Octubre and Cerro municipalities in Havana province. Methods: Descriptive cross-sectional study conducted in the period from February to April 2016. 44 community pharmacies were assessed in 10 de Octubre municipality and 22 in Cerro municipality. It was used a guide for the assessment validated by experts according to Moriyama, that explored five dimensions and ten aspects. Results: Cerro municipality was the least favourable with fewer dimensions accomplished. For both municipalities, the dimension with less affectation was the material resources and the one with greater affectation was services. Other affected dimensions were the equipment, infrastructure and human resources. The pharmacy #710 in 10 de Octubre municipality complied with most of the dimensions assessed, except for the access to INFOMED network´s web page. Conclusions: Community pharmacies of 10 de Octubre and Cerro municipalities do not have basic structural conditions to implement the service of pharmacotherapy follow-up(AU)


Subject(s)
Humans , Pharmacies , Pharmacists , Pharmaceutical Services/standards , Epidemiology, Descriptive , Cross-Sectional Studies , Observational Study
13.
Biomédica (Bogotá) ; 40(supl.1): 132-138, mayo 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1124250

ABSTRACT

Introducción. La satisfacción y el conocimiento del cambio de tenofovir por tenofovir- alafenamida en pacientes con HIV no se han estudiado aún. Estos dos parámetros se relacionan con mejores resultados en salud y, por lo tanto, es importante medirlos durante la práctica clínica habitual. Objetivo. Evaluar el grado de conocimiento y satisfacción de los pacientes positivos para HIV ante el cambio de tratamiento antirretroviral con rilpivirina, emtricitabina y tenofovir (RPV-FTC-TDF) por rilpivirina, emtricitabina y tenofovir-alafenamida (RPV-FTC-TAF). Materiales y métodos. Se llevó a cabo un estudio prospectivo en un hospital de tercer nivel entre los meses de septiembre y noviembre de 2018. Se incluyeron pacientes previamente tratados con RPV-FTC-TDF que acudían por segunda vez a consulta para recibir el tratamiento con RPV-FTC-TAF. La satisfacción y el grado de conocimiento se analizaron mediante nueve preguntas, usando una escala de tipo Likert de 5 puntos para evaluar el grado de acuerdo. Resultados. Se incluyeron 116 pacientes en el estudio. El 75 % de ellos se mostró satisfecho con el cambio y se consideró que el 64 % conocía lo que implicaba. Los pacientes jóvenes se mostraron menos satisfechos con el modo en que se les explicó el cambio (p=0,0487). Los pacientes estaban mejor informados sobre las ventajas renales (85 % de conocimiento) y óseas (82 %) de la nueva medicación, que sobre sus inconvenientes para el perfil lipídico (40 %). Conclusiones. En general, los pacientes se mostraron satisfechos con el cambio de medicación y conocían la posología del medicamento y las ventajas de la tenofovir- alafenamida frente al tenofovir, pero no sus posibles efectos adversos.


Introduction: Satisfaction and knowledge among patients with HIV after switching from tenofovir to tenofovir/alafenamide remain unexplored. Given that both parameters are associated with better health outcomes it is relevant to measure them in patients during routine clinical practice. Objective: To evaluate the degree of knowledge and satisfaction in patients who had their antiretroviral regimen switched from rilpivirine (RPV)/emtricitabine (FTC)/TDF to RPV/FTC/TAF. Materials and methods: We conducted a prospective study in a third-level hospital between September, 2018, and November, 2018. We included patients who had previously been treated with RPV/FTC/TDF and collected their RPV/FTC/TAF treatment in the second visit. A 5-point Likert-type agreement/disagreement scale was used to assess satisfaction and knowledge regarding the medication switch. Results: We included 116 patients in the study of whom 75% were satisfied and 64% had a high-level of knowledge. Young patients were less satisfied with the way in which the change was explained (p=0.0487). Concerning the new medication, the patients were better informed about its renal (85% of them) and bone benefits (82%) than about its adverse effects on the lipid profile (40%). Conclusions: The patients were generally satisfied with the change in medication and well informed about the dosage and advantages of TAF over TDF, but less well informed about the possible adverse effects of TAF.


Subject(s)
HIV , Patient Satisfaction , Patient Medication Knowledge , Pharmacists , Rilpivirine , Tenofovir
15.
Article in Chinese | WPRIM | ID: wpr-828098

ABSTRACT

OBJECTIVE@#To investigate the role of pharmacist-led anticoagulation monitoring service for warfarin anticoagulation therapy in patients during hospitalization.@*METHODS@#We retrospectively analyzed the data of 421 patients receiving warfarin anticoagulation therapy during hospitalization between April, 2016 and December, 2017. Of these patients, 316 received daily pharmacist-led anticoagulation monitoring service including checking the patients' International Normalized Ratio (INR) and other pertinent laboratory test results and reviewing medication changes and the patients' clinical status (monitoring group); the other 105 patients receiving warfarin anticoagulation therapy without pharmaceutical care served as the control group. The data including compliance rate of anticoagulant indicators, incidence and rate of prompt management of INR alert, thrombosis and bleeding events during hospitalization were analyzed among these patients.@*RESULTS@#Compared with the control patients, the patients in the monitoring group showed a significantly higher percentage time within target INR range [(73.20±9.46)% (46.32±17.11)%, < 0.001] and a higher qualified rate of INR before discharge (98.42% 60.95%, < 0.001) as well as a higher proper INR-monitoring frequency (97.15% 66.67%, < 0.001). The patients in the monitoring group showed a significantly lower incidence of INR alert than the control patients (8.23% 20.00%, < 0.001) with also a much higher rate of prompt management (96.15% 33.33%). The two groups had similar incidences of clinical events except that the control group reported a higher incidence of minor bleeding episodes (9.52% 2.53%, =0.005).@*CONCLUSIONS@#Pharmacist-led anticoagulation monitoring service can significantly improve the effectiveness and safety of warfarin anticoagulation therapy for patients during hospitalization.


Subject(s)
Anticoagulants , Drug Monitoring , Hospitalization , Humans , Pharmacists , Retrospective Studies , Warfarin
16.
Esc. Anna Nery Rev. Enferm ; 24(4): e20190346, 2020. tab, graf
Article in Portuguese | LILACS, BDENF | ID: biblio-1114752

ABSTRACT

Resumo Objetivo Analisar evidências disponíveis na literatura capazes de subsidiar o planejamento da alta hospitalar do paciente submetido ao transplante hepático. Método Revisão integrativa a partir das bases Scopus, LILACS, SciELO, MEDLINE/PubMed, CINAHL, BDENF, Web of Science. Utilizou-se os descritores Transplante hepático e Alta hospitalar, em inglês, espanhol e português, identificando-se 1.152 artigos, sendo que a amostra foi composta por 13 artigos. Resultados As publicações concentram-se entre 2014 (n=4; 30,7%) e 2016 (n=3; 23%), tendo como origem o Brasil (n=5; 38,4%) e os Estados Unidos (n=3; 23%). Os resultados foram organizados nas categorias: Sinais de alerta para possíveis alterações que possam surgir no domicílio; Recomendações para o uso de medicamentos-promoção do autogerenciamento e adesão ao tratamento; Atividades e cuidados diários em domicílio - apoio e autoconfiança; Mudanças na imagem corporal e vida diária - importância da rede de apoio. Conclusão A alta hospitalar do paciente submetido ao transplante hepático é um desafio, visto a complexidade do procedimento. Os achados apresentam cuidados direcionados à educação em saúde no sentido de minimizar complicações, apoiar a equipe multiprofissional e o paciente no autocuidado, em especial quanto aos sinais e sintomas de complicações, cuidados com o uso de medicação e as mudanças que ocorrem no retorno ao domicílio.


Resumen Objetivo Analizar evidencias disponibles en la literatura capaces de apoyar la planificación del alta hospitalaria de pacientes sometidos a trasplante hepático. Método Revisión integradora de bases: Scopus, LILACS, SciELO, MEDLINE/PubMed, CINAHL, BDENF, Web of Science. Las palabras clave Trasplante de hígado y Alta hospitalaria fueron utilizadas en inglés, español y portugués. Se identificaron 1.152 artículos, siendo la muestra compuesta de 13. Resultados: Las publicaciones se concentran entre 2014 (n=4;30,7%) y 2016 (n=3;23%), originarias de Brasil (n=5;38,4%) y Estados Unidos (n=3;23%). Resultados organizados en categorías Señales de alerta de posibles cambios que puedan surgir en el hogar; Recomendaciones para el uso de medicamentos de autogestión y adherencia al tratamiento; Actividades diarias y atención en el hogar - apoyo y autoconfianza; Cambios en imagen corporal y vida diaria - importancia de la red de apoyo. Conclusión El alta al paciente sometido a un trasplante de hígado es un desafío, dada la complejidad del procedimiento. Los hallazgos presentan una atención dirigida a la educación sanitaria para minimizar las complicaciones, apoyar el equipo multidisciplinario y el paciente en autocuidado, especialmente con respecto a los signos y síntomas de las complicaciones, la atención con el uso de medicamentos y los cambios que ocurren al regresar a casa.


Abstract Objective To analyze evidence available in the literature to support the planning of hospital discharge of the patient who has undergone liver transplantation. Method Integrative review from the bases Scopus, LILACS, ScieELO, MEDLINE/PubMed, CINAHL, BDENF, Web of Science. The keywords Liver transplant and Hospital discharge were used in English, Spanish, and Portuguese, being identified 1,152 articles, and the sample consisting of 13 articles. Results Publications are concentrated between 2014 (n = 4; 30.7%) and 2016 (n = 3; 23%), originating in Brazil (n = 5; 38.4%) and the United States (n = 3; 23%). The results were organized into the categories: Warning signs for possible changes that may arise at home; Recommendations for the use of medicines - promoting self-management and adherence to treatment; Daily activities and care at home - support and self-confidence; Changes in body image and daily life - the importance of support network. Conclusion Discharging the patient who has undergone liver transplantation is a challenge, given the complexity of the procedure. The findings show care directed at health education to minimize complications, support the multidisciplinary team and patient in self-care, especially regarding the signs and symptoms of complications, care with the use of medication, and the changes that occur when returning home.


Subject(s)
Humans , Patient Discharge , Liver Transplantation , Transplant Recipients , Pharmacists , Self Care , Social Support , Health Education , Nurse Practitioners
17.
Article in English | WPRIM | ID: wpr-877693

ABSTRACT

The ongoing pandemic in Singapore is part of a global pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). To control the spread of COVID-19 and prevent the healthcare system from being overwhelmed, 'circuit breaker' measures were introduced between 7 April and 1 June 2020 in Singapore. There is thus a crucial need for innovative approaches to the provision and delivery of healthcare in the context of safe-distancing by harnessing telemedicine, especially for patients with chronic diseases who have traditionally been managed in tertiary institutions. We present a summary of how the Virtual Monitoring Clinic has benefited the practice of our outpatient rheumatology service during the COVID-19 pandemic. The virtual consultations address the need for safe-distancing by limiting face-to-face appointments and unnecessary exposure of patients to the hospital where feasible. This approach ensures that the patients are monitored appropriately for drug toxicities and side-effects, maintained on good disease control, and provided with patient education.


Subject(s)
Ambulatory Care/methods , Antirheumatic Agents/therapeutic use , COVID-19 , Delivery of Health Care , Humans , Nurse Practitioners , Pharmacists , Rheumatic Diseases/drug therapy , Rheumatology/methods , SARS-CoV-2 , Singapore , Telemedicine/organization & administration , Tertiary Care Centers
18.
Acta Medica Philippina ; : 517-524, 2020.
Article in English | WPRIM | ID: wpr-877289

ABSTRACT

@#Background. Community pharmacists play a central role in the management of minor ailments and their clinical knowledge is vital in improving treatment outcomes of these ailments. The provision of minor ailment service in developed countries has been successful yet the practice in the Philippines has not been documented. Objectives. The aim of this study was to document the involvement of community pharmacists in the management of minor ailments, the practices, and the perceived challenges in the provision of pharmacy service. Methods. This was an exploratory descriptive study. Using qualitative research technique, a guided interview questionnaire was employed for data gathering. The practices employed and perceived challenges encountered by pharmacists were interpreted using conventional content analysis. Results. Colds, cough, skin allergy, diarrhea were the four most common ailments managed by community pharmacists. Pharmacists had underdeveloped roles in consultation. Community pharmacists were knowledgeable on the causes of the minor ailments and the medications dispensed were compliant with approved product indications. The absence of institutional guidelines (66%), lack of ailment-specific training (100%), insufficient clinical skills (76.7%), and a dominant patient self-selection behavior for OTC medicines (73.3%) were perceived as challenges in the provision of minor ailment services. Conclusion. Community pharmacists managed common ailments with non-prescription medicines however consultation roles were found to be underdeveloped.


Subject(s)
Pharmacists , Nonprescription Drugs , Philippines
19.
Article in English | WPRIM | ID: wpr-886625

ABSTRACT

@#BACKGROUND: The incidence of hypertension and its complications continue to increase in the Philippine Army due to non-adherence resulting in poor health outcomes. OBJECTIVE: This study implemented a Medication Counseling Program (MCP) for hypertensive soldiers, and assessed the effects of the program on knowledge of disease and treatment (Knowledge), attitude towards medication (Attitude), adherence to treatment (Adherence), and blood pressure (BP). It identified and categorized pharmacist interventions applied during the counseling sessions. The perceptions of patients and physicians on pharmacist's clinical roles were also determined. METHODOLOGY: The program was implemented from March to October 2015 in a government hospital for the Philippine Army. Knowledge, attitude, adherence, and BP (converted as mean arterial pressure or MAP) were measured at baseline, 30, 60, and 90th day after initial counseling. Data for pharmacist interventions were collected from patient's documentary form. The interview was conducted to patients after their 90-day counseling period and physicians after the 8-month duration of the program. RESULTS: A total of 20 patients were enrolled in the program, but only 13 patients completed the study. Of the 62 counseling sessions conducted by the pharmacist for the 8-month period, a total of 252 pharmacist interventions were administered. Knowledge, attitude, adherence, and MAP scores improved, and 100 % of the patients achieved normal/controlled BP after the 90-day counseling period. CONCLUSION: A pharmacist MCP intervention may improve a patient's knowledge, attitude, adherence, and BP. The program enabled the pharmacist to apply pharmacist interventions to identified drug-therapy problems of the patients and resolved these through collaboration with the physicians and cooperation of the patients.


Subject(s)
Pharmacists , Military Personnel , Pharmaceutical Services , Medication Adherence , Pharmacies , Hypertension , Counseling
20.
S. Afr. j. infect. dis. (Online) ; 35(1): 1-10, 2020. ilus
Article in English | AIM, AIM | ID: biblio-1270735

ABSTRACT

Since the outbreak of COVID-19, and its declaration as a pandemic by the World Health Organization (WHO), the reliance on pharmacists as one of the first points of contact within the healthcare system has been highlighted. This evidence-based review is aimed at providing guidance for pharmacists in community, hospital and other settings in South Africa, on the management of patients with suspected or confirmed coronavirus disease 2019, or COVID-19. The situation is rapidly evolving, and new evidence continues to emerge on a daily basis. This guidance document takes into account and includes newly available evidence and recommendations, particularly around the following aspects relating to COVID-19: • Epidemiology • The virus, its modes of transmission and incubation period • Symptom identification, including the differentiation between influenza, allergic rhinitis, sinusitis and COVID-19 • Social media myths and misinformation • Treatment guidelines and medicines that may need to be kept in stock • Treatment and prevention options, including an update on vaccine development • The case for and against the use of NSAIDs, ACE-inhibitors and angiotensin receptor blockers (ARBs) in patients with COVID-19 • Interventions and patient counselling by the pharmacist. It is critical, though, that pharmacists access the most recent and authoritative information to guide their practice. Key websites that can be relied upon are: • World Health Organization (WHO): https://www.who.int/emergencies/diseases/novelcoronavirus-2019 • National Institute for Communicable Diseases (NICD): https://www.nicd.ac.za/diseasesa-z-index/covid-19/ • National Department of Health (NDoH): http://www.health.gov.za/index.php/ outbreaks/145-corona-virus-outbreak/465-corona-virus-outbreak; https://sacoronavirus. co.za/


Subject(s)
COVID-19 , Chloroquine , Hydroxychloroquine , Pharmacists , SARS Virus , South Africa
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