Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective.
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/320 |
Resumo: | Drug use studies incorporate relevant aspects of public health, rising questions concerning sanitary risks, which, consequently, work as tools for positive changes of the observed reality. Drug misuse complications are responsible for costs that represent 15-20% of the hospitals’ budget. This observational transversal study investigated antibiotic prescriptions in three Sentinel Hospitals from 210 patient’s charts of elderly patients (with 60 years old or more), hospitalized and submitted to antibiotic therapy and verified the predominance of respiratory infections (67 patient charts) in the period of the study. These patient charts became the study population. Tendencies of antibiotic prescriptions were identified in these hospitals. The predominance was observed in the male gender and in the age bracket of 80 or more years old. Beta-lactamics and quinolons were the most prescribed ones. Drugs were classified as belonging or not belonging to the RENAME (National Relation of Essential Drugs) as a rational use criterion. The empiric use was responsible for 93% of the prescriptions. Patients’ distribution was established regarding active principles, route of administration, treatment duration and daily doses. An association including as much as 8 active principles was found, but monotherapy was verified (39%). Intravenous route was the most used one (78%). The study demonstrated the need of interventions able to assure the action integration between hospital infection control and the pharmaceutical service. Key-words: Drug prescriptions; Aged; Hospitalization. |
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Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective.Estudo das tendências de prescrição de antimicrobianos para pacientes idosos hospitalizados sob a perspectiva do uso racional de medicamentosPrescrição de Medicamentos. Idoso. HospitalizaçãoDrug use studies incorporate relevant aspects of public health, rising questions concerning sanitary risks, which, consequently, work as tools for positive changes of the observed reality. Drug misuse complications are responsible for costs that represent 15-20% of the hospitals’ budget. This observational transversal study investigated antibiotic prescriptions in three Sentinel Hospitals from 210 patient’s charts of elderly patients (with 60 years old or more), hospitalized and submitted to antibiotic therapy and verified the predominance of respiratory infections (67 patient charts) in the period of the study. These patient charts became the study population. Tendencies of antibiotic prescriptions were identified in these hospitals. The predominance was observed in the male gender and in the age bracket of 80 or more years old. Beta-lactamics and quinolons were the most prescribed ones. Drugs were classified as belonging or not belonging to the RENAME (National Relation of Essential Drugs) as a rational use criterion. The empiric use was responsible for 93% of the prescriptions. Patients’ distribution was established regarding active principles, route of administration, treatment duration and daily doses. An association including as much as 8 active principles was found, but monotherapy was verified (39%). Intravenous route was the most used one (78%). The study demonstrated the need of interventions able to assure the action integration between hospital infection control and the pharmaceutical service. Key-words: Drug prescriptions; Aged; Hospitalization.Estudos de utilização de medicamentos incorporam aspectos relevantes na saúde pública, despertando questionamentos sobre o risco sanitário que, consequentemente, funcionarão como ferramentas de transformações positivas da realidade. Gastos com complicações causadas pelo mau uso de medicamentos em hospitais representam 15 a 20% de seus orçamentos. Este estudo se propos a investigar as prescrições de antimicrobianos em três Hospitais Sentinela, a partir de 210 prontuários de pacientes idosos (60 anos ou mais) hospitalizados e submetidos à antibioticoterapia, quanto ao padrão de prescrição e indicações presentes. O delineamento da pesquisa foi observacional e transversal. Os prontuários foram consultados após a alta ou óbito dos pacientes. Verificou-se o predomínio das infecções respiratórias (67 prontuários) e estes casos passaram a ser a população de estudo. Foram identificadas as tendências de prescrição de antimicrobianos nos hospitais. Predominou o sexo masculino e faixa etária de 80 anos ou mais. Os grupos dos beta-lactâmicos e das quinolonas foram os mais prescritos. Os medicamentos foram classificados como pertencentes ou não à Relação Nacional de Medicamentos Essenciais, como critério de uso racional. O uso empírico correspondeu a 93% das prescrições. Foram estabelecidas as distribuições dos pacientes por número de princípios ativos prescritos, via de administração, dose diária utilizada e tempo de tratamento. Houve associação de até oito princípios ativos, porém o regime de monoterapia foi utilizado em 39% dos pacientes. A via mais utilizada foi a endovenosa (78%). O estudo demonstrou a necessidade de intervenções que assegurem a integração das ações de controle de infecção hospitalar com os serviços de farmácia.Editora UFJF2009-11-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrPesquisa Empírica de Campoapplication/pdfapplication/mswordhttps://periodicos.ufjf.br/index.php/hurevista/article/view/320HU Revista; v. 35 n. 2 (2009)1982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/320/239https://periodicos.ufjf.br/index.php/hurevista/article/view/320/14945Mendonça, Alessandra EstherPereira, Patrícia CarvalhoBarreto, Bruno BelotiBartolini, Fabrício Luiz SilvaCornelio, Rita de Cássia Azevedo CoutoAmaral, Maria da Penha Henriquesinfo:eu-repo/semantics/openAccess2023-05-04T03:53:16Zoai:periodicos.ufjf.br:article/320Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2023-05-04T03:53:16HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective. Estudo das tendências de prescrição de antimicrobianos para pacientes idosos hospitalizados sob a perspectiva do uso racional de medicamentos |
title |
Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective. |
spellingShingle |
Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective. Mendonça, Alessandra Esther Prescrição de Medicamentos. Idoso. Hospitalização |
title_short |
Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective. |
title_full |
Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective. |
title_fullStr |
Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective. |
title_full_unstemmed |
Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective. |
title_sort |
Study of antibiotics prescriptions tendencies for elderly inpatients concerning the rational drug use perspective. |
author |
Mendonça, Alessandra Esther |
author_facet |
Mendonça, Alessandra Esther Pereira, Patrícia Carvalho Barreto, Bruno Beloti Bartolini, Fabrício Luiz Silva Cornelio, Rita de Cássia Azevedo Couto Amaral, Maria da Penha Henriques |
author_role |
author |
author2 |
Pereira, Patrícia Carvalho Barreto, Bruno Beloti Bartolini, Fabrício Luiz Silva Cornelio, Rita de Cássia Azevedo Couto Amaral, Maria da Penha Henriques |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Mendonça, Alessandra Esther Pereira, Patrícia Carvalho Barreto, Bruno Beloti Bartolini, Fabrício Luiz Silva Cornelio, Rita de Cássia Azevedo Couto Amaral, Maria da Penha Henriques |
dc.subject.por.fl_str_mv |
Prescrição de Medicamentos. Idoso. Hospitalização |
topic |
Prescrição de Medicamentos. Idoso. Hospitalização |
description |
Drug use studies incorporate relevant aspects of public health, rising questions concerning sanitary risks, which, consequently, work as tools for positive changes of the observed reality. Drug misuse complications are responsible for costs that represent 15-20% of the hospitals’ budget. This observational transversal study investigated antibiotic prescriptions in three Sentinel Hospitals from 210 patient’s charts of elderly patients (with 60 years old or more), hospitalized and submitted to antibiotic therapy and verified the predominance of respiratory infections (67 patient charts) in the period of the study. These patient charts became the study population. Tendencies of antibiotic prescriptions were identified in these hospitals. The predominance was observed in the male gender and in the age bracket of 80 or more years old. Beta-lactamics and quinolons were the most prescribed ones. Drugs were classified as belonging or not belonging to the RENAME (National Relation of Essential Drugs) as a rational use criterion. The empiric use was responsible for 93% of the prescriptions. Patients’ distribution was established regarding active principles, route of administration, treatment duration and daily doses. An association including as much as 8 active principles was found, but monotherapy was verified (39%). Intravenous route was the most used one (78%). The study demonstrated the need of interventions able to assure the action integration between hospital infection control and the pharmaceutical service. Key-words: Drug prescriptions; Aged; Hospitalization. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-11-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ArtOr Pesquisa Empírica de Campo |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/320 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/320 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/320/239 https://periodicos.ufjf.br/index.php/hurevista/article/view/320/14945 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/msword |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 35 n. 2 (2009) 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
instacron_str |
UFJF |
institution |
UFJF |
reponame_str |
HU Revista (Online) |
collection |
HU Revista (Online) |
repository.name.fl_str_mv |
HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
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1796798240035700736 |