Pharmacist recommendations in an intensive care unit: three-year clinical activities.

OBJECTIVE: To analyze the clinical activities performed and the accepted pharmacist recommendations made by a pharmacist as a part of his/her daily routine in an adult clinical intensive care unit over a period of three years. METHODS: A cross-sectional, descriptive, and exploratory study was conducted at a tertiary university hospital from June 2010 to May 2013, in which pharmacist recommendations were categorized and analyzed. RESULTS: A total of 834 pharmacist recommendations (278 per year, on average) were analyzed and distributed across 21 categories. The recommendations were mainly made to physicians (n = 699; 83.8%) and concerned management of dilutions (n = 120; 14.4%), dose adjustment (n = 100; 12.0%), and adverse drug reactions (n = 91; 10.9%). A comparison per period demonstrated an increase in pharmacist recommendations with larger clinical content and a reduction of recommendations related to logistic aspects, such as drug supply, over time. The recommendations concerned 948 medications, particularly including systemic anti-infectious agents. CONCLUSION: The role that the pharmacist played in the intensive care unit of the institution where the study was performed evolved, shifting from reactive actions related to logistic aspects to effective clinical participation with the multi-professional staff (proactive actions).

[Adherence to drug treatment among registered users in the "HIPERDIA" Program in Teresina in the State of Piauí]. / Adesão ao tratamento medicamentoso em usuários cadastrados no Programa Hiperdia no município de Teresina (PI).

Arterial hypertension and diabetes mellitus are among the most chronic diseases prevalent in Brazil. The study sought to evaluate the socioeconomic profile and the therapeutic adherence of users registered in the HIPERDIA Program in Teresina in the State of Piauí. This research was conducted in the Primary Healthcare Units, where a questionnaire was given to four hundred people evaluating their adherence based on the Batalla and Morisky-Green tests. The socioeconomic profile of interviewees was as follows: senior citizens, women, married with 1 to 4 years of study, pensioners and salaried employees. Only 22.5% of hypertensive and 30.7% of diabetic interviewees were considered adherents according to Batalla, and among all of them only 26.75% were adherents according to Morisky-Green. There was no association between sociodemographic and clinical variables and adherence according to Morisky-Green, however there was an association with the type of morbidity presented. In light of these results, health education is the main strategy to improve adherence of users as well as the participation of professionals in the Family Healthcare Team, including the pharmacist, the nutritionist and the physical trainer.