Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/21319 |
Resumo: | According to the World Health Organization, population aging is one of the greatest challenges facing society. The discovery of antimicrobials (ATM) positively transformed clinical practice, however, the WHO highlights the growing emergence of resistant pathogens to these. The present study sought to analyze the use of ATMs in elderly patients hospitalized in a military hospital in Belém-PA, as well as the identification of possible problems related to these. Twelve patients were included in the study, who had a mean hospital stay of 36.6 days and 11 different antimicrobials prescribed. Of these, 89.7% prescriptions had adequate indication, dose in 84.5% and duration of treatment in 55.2%. After analyzing the tracers, it was identified that 3 patients had adverse drug reactions (ADR). The presence of patients with inadequate prescription of TMJ, regarding the indication, dose and duration of treatment, may be related to the absence of adequate therapeutic protocols for their use and administration. Thus, intensive monitoring of TMJ use in the elderly population in a hospital environment is extremely important, seeking to avoid the emergence of ADRs, which are often responsible for the worsening of the clinical condition of these patients and unnecessary expenses. Finally, it is important to highlight those further studies with a larger number of individuals are needed, to prove or not, the inappropriate use of these drugs in this population. |
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Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PAAnálisis del uso de antimicrobianos en pacientes ancianos hospitalizados en un hospital militar de Belém-PAAnálise do uso de antimicrobianos em pacientes idosos iternados em um hospital militar em Belém-PAAntimicrobianosIdososSaúde pública.AntimicrobianosAncianosSalud pública.AntimicrobialsElderlyPublic health.According to the World Health Organization, population aging is one of the greatest challenges facing society. The discovery of antimicrobials (ATM) positively transformed clinical practice, however, the WHO highlights the growing emergence of resistant pathogens to these. The present study sought to analyze the use of ATMs in elderly patients hospitalized in a military hospital in Belém-PA, as well as the identification of possible problems related to these. Twelve patients were included in the study, who had a mean hospital stay of 36.6 days and 11 different antimicrobials prescribed. Of these, 89.7% prescriptions had adequate indication, dose in 84.5% and duration of treatment in 55.2%. After analyzing the tracers, it was identified that 3 patients had adverse drug reactions (ADR). The presence of patients with inadequate prescription of TMJ, regarding the indication, dose and duration of treatment, may be related to the absence of adequate therapeutic protocols for their use and administration. Thus, intensive monitoring of TMJ use in the elderly population in a hospital environment is extremely important, seeking to avoid the emergence of ADRs, which are often responsible for the worsening of the clinical condition of these patients and unnecessary expenses. Finally, it is important to highlight those further studies with a larger number of individuals are needed, to prove or not, the inappropriate use of these drugs in this population.Según la Organización Mundial de la Salud, el envejecimiento de la población es uno de los mayores desafíos a los que se enfrenta la sociedad. El descubrimiento de los antimicrobianos (ATM) ha transformado positivamente la práctica clínica, sin embargo, la OMS destaca la creciente aparición de patógenos resistentes a estos. El presente estudio buscó analizar el uso de cajeros automáticos en pacientes ancianos hospitalizados en un hospital militar de Belém-PA, así como la identificación de posibles problemas relacionados con estos. Se incluyeron en el estudio 12 pacientes, que tuvieron una estancia hospitalaria media de 36,6 días y se prescribieron 11 antimicrobianos diferentes. De estos, el 89,7% prescripciones tenían indicación adecuada, dosis en 84,5% y duración del tratamiento en 55,2%. Después de analizar los trazadores, se identificó que 3 pacientes presentaron reacciones adversas a medicamentos (RAM). La presencia de pacientes con prescripción inadecuada de ATM, en cuanto a la indicación, dosis y duración del tratamiento, puede estar relacionada con la ausencia de protocolos terapéuticos adecuados para su uso y administración. Así, la monitorización intensiva del uso de ATM en la población anciana en un entorno hospitalario es de suma importancia, buscando evitar la aparición de RAM, que muchas veces son responsables del empeoramiento de la condición clínica de estos pacientes y gastos innecesarios. Finalmente, es importante resaltar que se necesitan más estudios con un mayor número de individuos, para comprobar o no, el uso inadecuado de estos fármacos en esta población.De acordo com a Organização Mundial da Saúde, o envelhecimento da população é um dos grandes desafios a ser enfrentado pela sociedade. A descoberta dos antimicrobianos transformou positivamente a prática clínica, no entanto, a OMS destaca o crescente surgimento de patógenos resistentes estes. O presente estudo buscou analisar o uso de ATM em pacientes idosos internados em um hospital militar de Belém-PA, bem como a identificação de possíveis problemas relacionados a estes. Foram incluídos 12 pacientes no estudo, que tiveram uma média de internação de 36,6 dias e 11 antimicrobianos diferentes prescritos. Destes, 89,7% prescrições apresentaram indicação adequada, dose em 84,5% e duração do tratamento em 55,2%. Após a análise de rastreadores, identificou-se que 3 pacientes apresentaram reações adversas a medicamentos (RAM). A presença de pacientes com prescrição de ATM de forma inadequada, quanto a indicação, dose e duração de tratamento, podem estar relacionadas a ausência de protocolos terapêuticos adequados para uso e administração destes. Desta forma, o monitoramento intensivo do uso de ATM na população idosa em ambiente hospitalar é de extrema importância, buscando evitar o surgimento de RAM, responsáveis muitas vezes pela piora na condição clínica destes pacientes e gastos desnecessários. Por fim, é importante destacar que, novos estudos com um número maior de indivíduos são necessários, para comprovar ou não, a utilização inadequada destes medicamentos nesta população.Research, Society and Development2021-10-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2131910.33448/rsd-v10i13.21319Research, Society and Development; Vol. 10 No. 13; e334101321319Research, Society and Development; Vol. 10 Núm. 13; e334101321319Research, Society and Development; v. 10 n. 13; e3341013213192525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/21319/18974Copyright (c) 2021 Ariana Cristina de Oliveira Azulino ; Edilberto Pontes Garcia Júnior ; Keith Brabo Feitosa Tavares; Adriana Vieira Coelho; Priscila Pessoa Diamantino Reis; Bruna Hogla Rodrigues Afonso; Thasmyr das Mercês Gonçalves Corrêa; Gabriel da Silva Duarte; Francisco Daniel Queiroz Brito; Alessandra Ribeiro Moraes da Silva; José Eduardo Gomes Arrudahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAzulino , Ariana Cristina de Oliveira Garcia Júnior , Edilberto Pontes Tavares, Keith Brabo Feitosa Coelho, Adriana VieiraReis, Priscila Pessoa DiamantinoAfonso, Bruna Hogla Rodrigues Corrêa, Thasmyr das Mercês Gonçalves Duarte, Gabriel da Silva Brito, Francisco Daniel QueirozSilva, Alessandra Ribeiro Moraes daArruda, José Eduardo Gomes2021-11-21T18:26:28Zoai:ojs.pkp.sfu.ca:article/21319Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:45.655758Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA Análisis del uso de antimicrobianos en pacientes ancianos hospitalizados en un hospital militar de Belém-PA Análise do uso de antimicrobianos em pacientes idosos iternados em um hospital militar em Belém-PA |
title |
Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA |
spellingShingle |
Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA Azulino , Ariana Cristina de Oliveira Antimicrobianos Idosos Saúde pública. Antimicrobianos Ancianos Salud pública. Antimicrobials Elderly Public health. |
title_short |
Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA |
title_full |
Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA |
title_fullStr |
Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA |
title_full_unstemmed |
Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA |
title_sort |
Analysis of the use of antimicrobials in elderly patients hospitalized in a military hospital in Belém-PA |
author |
Azulino , Ariana Cristina de Oliveira |
author_facet |
Azulino , Ariana Cristina de Oliveira Garcia Júnior , Edilberto Pontes Tavares, Keith Brabo Feitosa Coelho, Adriana Vieira Reis, Priscila Pessoa Diamantino Afonso, Bruna Hogla Rodrigues Corrêa, Thasmyr das Mercês Gonçalves Duarte, Gabriel da Silva Brito, Francisco Daniel Queiroz Silva, Alessandra Ribeiro Moraes da Arruda, José Eduardo Gomes |
author_role |
author |
author2 |
Garcia Júnior , Edilberto Pontes Tavares, Keith Brabo Feitosa Coelho, Adriana Vieira Reis, Priscila Pessoa Diamantino Afonso, Bruna Hogla Rodrigues Corrêa, Thasmyr das Mercês Gonçalves Duarte, Gabriel da Silva Brito, Francisco Daniel Queiroz Silva, Alessandra Ribeiro Moraes da Arruda, José Eduardo Gomes |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Azulino , Ariana Cristina de Oliveira Garcia Júnior , Edilberto Pontes Tavares, Keith Brabo Feitosa Coelho, Adriana Vieira Reis, Priscila Pessoa Diamantino Afonso, Bruna Hogla Rodrigues Corrêa, Thasmyr das Mercês Gonçalves Duarte, Gabriel da Silva Brito, Francisco Daniel Queiroz Silva, Alessandra Ribeiro Moraes da Arruda, José Eduardo Gomes |
dc.subject.por.fl_str_mv |
Antimicrobianos Idosos Saúde pública. Antimicrobianos Ancianos Salud pública. Antimicrobials Elderly Public health. |
topic |
Antimicrobianos Idosos Saúde pública. Antimicrobianos Ancianos Salud pública. Antimicrobials Elderly Public health. |
description |
According to the World Health Organization, population aging is one of the greatest challenges facing society. The discovery of antimicrobials (ATM) positively transformed clinical practice, however, the WHO highlights the growing emergence of resistant pathogens to these. The present study sought to analyze the use of ATMs in elderly patients hospitalized in a military hospital in Belém-PA, as well as the identification of possible problems related to these. Twelve patients were included in the study, who had a mean hospital stay of 36.6 days and 11 different antimicrobials prescribed. Of these, 89.7% prescriptions had adequate indication, dose in 84.5% and duration of treatment in 55.2%. After analyzing the tracers, it was identified that 3 patients had adverse drug reactions (ADR). The presence of patients with inadequate prescription of TMJ, regarding the indication, dose and duration of treatment, may be related to the absence of adequate therapeutic protocols for their use and administration. Thus, intensive monitoring of TMJ use in the elderly population in a hospital environment is extremely important, seeking to avoid the emergence of ADRs, which are often responsible for the worsening of the clinical condition of these patients and unnecessary expenses. Finally, it is important to highlight those further studies with a larger number of individuals are needed, to prove or not, the inappropriate use of these drugs in this population. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21319 10.33448/rsd-v10i13.21319 |
url |
https://rsdjournal.org/index.php/rsd/article/view/21319 |
identifier_str_mv |
10.33448/rsd-v10i13.21319 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21319/18974 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 13; e334101321319 Research, Society and Development; Vol. 10 Núm. 13; e334101321319 Research, Society and Development; v. 10 n. 13; e334101321319 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
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Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052692106838016 |