Advice to health professionals: Use of lignocaine as a diluent to reduce the pain associated with the administration of benzathine penicillin G

Madeira, Geoffrey; Mocumbi, Ana Olga; Mayosi, Bongani M.

doi:10.7196/samj.2016.v106i8.10864

Cited by 7 publications

(8 citation statements)

References 8 publications

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“…This method was superior as it had several differences with similar studies, which has been associated with the involvement and stimulation of more pain receptors through skin traction and deep muscle pressure, and reduced pain more, according to Wall and Melzack theory. [ 10 ] On the other hand, the needle penetrates the skin more easily and reduces pain,[ 24 ] and because the injection is less painful and the movement of the syringe causes damage to the tissue,[ 25 ] with this innovative method, the muscle is released by throwing method and injection can be performed in dart method, without hand shaking, and irregular movements of the syringe will be prevented, as the needle is inserted into the muscle inactively. By this technique, the needle will be inserted with completely no pain and muscle spasm and consequently, the injection pain will reduce to minimum, as muscle relaxation reduces pain.…”

Section: Discussionmentioning

confidence: 99%

Comparison of skin traction, pressure, and rapid muscle release with conventional method on intramuscular injection pain: A randomized clinical trial

Salari

Estaji

Akrami

et al. 2018

J Edu Health Promot

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Section: Discussionmentioning

confidence: 99%

Comparison of skin traction, pressure, and rapid muscle release with conventional method on intramuscular injection pain: A randomized clinical trial

Salari

Estaji

Akrami

et al. 2018

J Edu Health Promot

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“…Moreover, intramuscular benzathine penicillin G (BPG) is more effective than oral penicillin in the secondary prevention of acute rheumatic fever (ARF), and is, therefore, a first-line drug for the secondary prevention of ARF and RHD. [9][10][11][12] It is also more effective than longacting azithromycin, erythromycin, or sulphonamide. 13 Various country-based and organization-based guidelines such as the American Heart Association (AHA) guidelines, 10 World Health Organization (WHO), New Zealand Guidelines for Rheumatic Fever, Indian Academy of Paediatrics, Australian guideline for prevention, diagnosis, and management of acute rheumatic fever and rheumatic heart disease, South African National Guidelines on Primary Prevention and Prophylaxis of RF and RHD for Health Professional at Primary Level, and Saudi Pediatric Infectious Society (SPIDS) also recommend intramuscular BPG as the medication of choice scheduled to be administered every 4 weeks depending on the patients.…”

Section: Secondary Prevention Of Rheumatic Heart Diseasementioning

confidence: 99%

Secondary Prevention of Rheumatic Heart Disease in Nepal: Are We Going Backward?

Regmi¹,

Dhungel²,

Kafle³

2022

J Nepal Med Assoc

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A secondary level of prophylaxis has proven to be the most successful in Nepal, a country with an endemic rate of rheumatic heart disease, in combating the severe issues associated with rheumatic heart disease. The use of benzathine penicillin G in secondary prophylaxis of rheumatic heart disease, recommended by several guidelines, has been increasingly abandoned in Nepal due to a lack of national guidelines and the termination of the prior programs. The use of oral penicillin and alternative oral antibiotics, which are less effective in preventing the recurrence of acute rheumatic fever, is on the rise. Nepal urgently needs to develop new national guidelines and ensure their effective implementation in order to slow the increase in the number of rheumatic heart disease patients. In this article, we explore the limitations, challenges, and advantages of using the consensus-supported intramuscular benzathine penicillin G as the first-line drug for the secondary prevention of rheumatic heart disease.

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“…Assim, as relações entre a dor das injeções e a adesão à medicação mostraram-se aspectos centrais para a assistência e, nesse sentido, a padronização da prescrição do medicamento, associado ao anestésico, é crucial para amenizar o sofrimento físico e emocional dessas pessoas e facilitar sua adesão ao tratamento 13,17,18 .…”

Section: Atitudes Ante O Tratamento Da Sífilisunclassified

Relatos de pessoas curadas da sífilis sobre as experiências na adesão ao tratamento

Navega¹,

Maia²

2022

Rev. Cont. Saúde

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Diante dos altos índices de sífilis no Brasil, conhecer as experiências de pessoas diante do tratamento pode auxiliar no aprimoramento das práticas assistenciais para uma resposta mais efetiva ante essa epidemia. Esta pesquisa qualitativa-descritiva analisou os relatos de pessoas curadas da sífilis sobre as suas vivências no tratamento da infecção. Participaram quatro homens e quatro mulheres usuários/as de um serviço público de saúde brasileiro. A coleta de dados foi realizada por meio de entrevistas semiestruturadas, gravadas em áudio, cujas transcrições, na íntegra, foram analisadas em categorias temáticas. Os dados evidenciaram a valorização de si e da própria saúde como motivadores da adesão ao tratamento. A vulnerabilidade às Infecções Sexualmente Transmissíveis e a adoção de atitudes preventivas foram reavaliadas. As injeções da medicação provocaram dor física e isso foi associado ao sofrimento pela culpa em não ter se protegido. Saber da cura foi um alívio, porém restou o medo de reativação da infecção. Foi desafiador revelar o diagnóstico ao/a parceiro/a sexual e lidar com as suas reações. A desigualdade de gênero permeou as reações de recusas dos parceiros ao tratamento e ao uso do preservativo. Destaca-se, ainda, o medo do preconceito e a efetiva discriminação, assim como a necessidade do suporte social. Conclui-se que, mesmo para pessoas aderentes ao tratamento da sífilis, este pode ser permeado por diversos tipos de sofrimento emocional e que uma assistência favorável à adesão deve incluir apoio emocional, boa comunicação profissional-paciente e uso de anestésico para reduzir a dor das injeções.

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Advice to health professionals: Use of lignocaine as a diluent to reduce the pain associated with the administration of benzathine penicillin G

Cited by 7 publications

References 8 publications

Comparison of skin traction, pressure, and rapid muscle release with conventional method on intramuscular injection pain: A randomized clinical trial

Comparison of skin traction, pressure, and rapid muscle release with conventional method on intramuscular injection pain: A randomized clinical trial

Secondary Prevention of Rheumatic Heart Disease in Nepal: Are We Going Backward?

Relatos de pessoas curadas da sífilis sobre as experiências na adesão ao tratamento

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