ABSTRACT
Dentro de las políticas farmacéuticas, el Estado se ha interesado por la receta médica como documento legal de prescripción y de dispensación de medicamentos y productos sanitarios, contribuyendo a la mejora en la seguridad del paciente. Con el objetivo de medir la cumplimentación de las recetas que llegan a la farmacia comunitaria se realizó un estudio observacional transversal, durante dos meses de 2019, revisando todas las recetas en soporte papel presentadas para su dispensación en cinco farmacias. En ese intervalo se recibieron un total de 33.463 recetas, 30.085 (89,90 %) eran electrónicas y 3.378 (10,10 %) en papel. De estas, 841 (25 %) eran del Sistema Nacional de Salud (SNS), 931 (27 %) de MUFACE, 362 (11 %) de ISFAS, 28 (1 %) de MUGEJU, 201 (6 %) de otras mutuas y 1.015 (30 %) de asistencia sanitaria privada. Cuando se analizó el número y porcentaje de recetas en papel que podían ser dispensadas legalmente, se observó que sólo 130 (65 %) recetas de otras mutuas, 30 (4 %) recetas del SNS y 34 (3 %) recetas privadas estaban correctamente cumplimentadas. Por tanto, sólo 194 de las 3.378 recetas en papel analizadas (6 %) que se han recibido durante dos meses en las cinco farmacias podían ser dispensadas de acuerdo con la ley actual. Cuando las recetas no están correctamente cumplimentadas, con los datos básicos obligatorios, indispensables para la validez de la receta médica, la seguridad del paciente puede verse comprometida y los profesionales sanitarios que prescriben y los que dispensan los medicamentos se exponen a sanciones
Within the pharmaceutical policies, the State has been interested in the medical prescription as a legal document of prescription and dispensing medicines and health products contributing to the improvement in patient safety. To measure the degree of compliance of the prescriptions that arrive at the community pharmacy, a cross-sectional observational study was conducted for two months of 2019 to review all the prescriptions on paper presented for dispensing in five pharmacies. Within this period, a total of 33463 prescriptions were received 30085 (89.90%) were electronic and 3378 (10.10%) were on paper. Of these, 841 (25%) came from the public health system, 931 (27%) from MUFACE, 362 (11%) from ISFAS, 28 (1%) from MUGEJU, 201 (6%) other organizations and 1015 (30%) from private healthcare. When the number and percentage of paper prescriptions that could be legally dispensed was analysed, it was observed that only 130 (65%) prescriptions of other organizations, 30 (4%) of the public health system and 34 (3%) of private healthcare were correctly completed. Therefore, only 194 of the 3,378 paper prescriptions (6%) received during two months in the five community pharmacies could be dispensed according to current law. When the prescriptions are not correctly filled, with the mandatory basic data, indispensable for the validity of the medical prescription, the patient's safety can be compromised and the prescribing health professionals and those who dispense the medications are exposed to sanctions
Subject(s)
Humans , Prescription Drugs/standards , Prescriptions/standards , Pharmacies/organization & administration , Cookbooks as Topic/legislation & jurisprudence , Drug Prescription of Special Control , Health Policy/legislation & jurisprudence , Products Commerce , Patient Safety , Cross-Sectional Studies , Cookbooks as Topic/methodsABSTRACT
There is a pediatric consensus that maternal milk is the best food for the new born, but when this is impossible, one turns to artificial nutrition. The main objective of infant formulae is to achieve a gastrointestinal tolerance that is similar to maternal milk. With this in mind, we carried out an observational, prospective, and multicentric study with the objective of evaluating the gastrointestinal tolerance of Similac, taking maternal milk and other formulae on the market as reference. The study included 2 pediatric visits, a diary in which the parents recorded the gastrointestinal parameters, and a final questionnaire to evaluate the degree of satisfaction. Information was obtained from 6,617 evaluable cases, 82.2% fed with Similac (S), 8.8% with maternal milk (MM) and 9% with other formulae (OF). The analysis of the data showed that the percentage of children with signs of gastrointestinal intolerance, was reduced to more than half when using S compared to OF (5.6% S, 5% LM, and 14.1% OF). The color and consistency of the feces was significantly associated with the formula group, and in both cases S showed a greater similarity to the pattern obtained with MM compared to the OF group. 18.6% of the children with OF presented hard feces, and this percentage was reduced to at least half with S (6.2%). The S group showed a greater percentage of lack of regurgitations and no aerophagia and the lowest percentage for three or more regurgitations and severe aerophagia. Those questioned considered that S was easier to reconstitute up, is liked better, and is better tolerated than the OF used. Similac achieved a greater similarity in gastrointestinal tolerance to that of maternal milk than other formulae did.
Subject(s)
Digestive System/drug effects , Infant Food/adverse effects , Breast Feeding , Color , Feces/chemistry , Female , Humans , Infant , Infant Food/statistics & numerical data , Infant, Newborn , Male , Patient Selection , Prospective Studies , Spain , Surveys and QuestionnairesABSTRACT
Es de consenso pediátrico que la leche materna es el mejor alimento para el recién nacido, pero cuando ello resulta imposible se recurre a la alimentación artificial. Es objetivo principal de las fórmulas infantiles conseguir una tolerancia gastrointestinal semejante a la leche materna. En este sentido se realizó este estudio observacional, prospectivo y multicéntrico con el objeto de evaluar la tolerancia gastrointestinal de Similac® tomando como referencia la leche materna y otras fórmulas del mercado. El estudio incluye 2 visitas al pediatra, un diario en que los padres recogían durante 2 semanas parámetros de función gastrointestinal y un cuestionario final para evaluar el grado de satisfacción. Se consiguió información de 6.617 casos evaluables, 82,2 por ciento alimentados con Similac® (S) 8,8 por ciento con leche materna (LM) y 9 por ciento con otras fórmulas (OF). El análisis de los datos mostró que el porcentaje de niños con signos de intolerancia gastrointestinal se redujo en más de la mitad con S respecto a OF (5,6 por ciento S, 5 por ciento LM y 14,1 por ciento OF). El color y la consistencia de las heces se asoció significativamente con el grupo de alimentación y en ambos casos S presentó una mayor similitud al patrón obtenido con LM respecto al grupo OF. El 18,6 por ciento de los niños con OF presentaron heces duras, este porcentaje se redujo a menos de la mitad 'con S (6,2 por ciento). El grupo S presentó el mayor porcentaje para ausencia de regurgitaciones y ninguna aerofagia y el menor porcentaje para tres o más regurgitaciones y areofagia severa. Los encuestados consideran que S es más fácil de reconstituir, gusta más y sienta mejor que OF utilizadas. Similac® consiguió una mayor similitud a la tolerancia gastrointestinal de la leche materna que otras fórmulas de alimentación (AU)
There is a pediatric consensus that maternal milk is the best food for the new born, but when this is impossible, one turns to artificial nutrition. The main objective of infant formulae is to achieve a gastrointestinal tolerance tivt is similar to maternal milk. With this in mind, we carried out an observational, prospective, and multicentric study with the objective of evaluating the gastrointestinal tolerance of Similac®, taking maternal milk and other formulae on the market as reference. The study included 2 pediatric visits, a diary in which the parents recorded the gastrointestinal parameters, and a final questionnaire to evaluate the degree of satisfaction. Information was obtained from 6,617 evaluable cases, 82.2% fed with Similac® (S), 8.8% with maternal milk (MM) and 9% with other formulae (OF). The analysis of the data showed that the percentage of children with signs of gastrointestinal intolerance, was reduced to more than half when using S compared to OF (5.6 S, 5 % LM, and 14.1% OF). The color and consistency of the feces was significantly associated with the formula group, and in both cases S showed a greater similarity to the pattern obtained with MM compared to the OF group. 18.6% of the children with OF presented hard feces, and this percentage was reduced to at least half with S (6.2%). The S group showed a greater percentage of lack of regurgitations and no aerophagia and the lowest percentage for three or more regurgitations and severe aerophagia. Those questioned considered that S was easier to reconstitute up, is liked better, and is better tolerated than the OF used. Similac® achieved a greater similarity in gastrointestinal tolerance to that of maternal milk than other formulae did (AU)
