Avaliação da qualidade das prescrições de antimicrobianos dispensadas em unidades públicas de saúde de Belo Horizonte, Minas Gerais, Brasil, 2002

Abrantes, Patrícia de Magalhães; Magalhães, Sérgia Maria Starling; Acúrcio, Francisco de Assis; Sakurai, Emília

doi:10.1590/s0102-311x2007000100011

Cited by 23 publications

(32 citation statements)

References 7 publications

(14 reference statements)

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“…This difference in the adjusted analysis has probably been atributed to the decrease of the sample size, when we consider only prescriptions with antimicrobials. The average consultation time with the pediatricians was 5 minutes and 30 seconds (DP = 2' 30''; amplitude of [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. The consultations longer than 5 minutes had better understanding of the prescription by the responsible for the child, for the total number of assisted consultations (p = 0,004) as well for the ones with at least one prescription antimicrobial (p = 0,03).…”

Section: Resultsmentioning

confidence: 99%

“…There are evidences that, in the context of the use of antimicrobials, the medical specialty that prescribes this drugs the most is pediatrics [13][14] . Some researchers have mentioned that the mother's age and her education level, are also conditioning factors for the higher level of prescription of antimicrobials to their kids 15,16 .…”

Section: Discussionmentioning

confidence: 99%

“…The most precribed antimicrobials were amoxicilin, followed by the combination trimethoprim-sulfamethoxazole, both with broad spectrum of action. Many studies have shown the widespread use of theses two antimicrobials at the community level, where variations in the frequency of use values comprise between 35,8 to 54% and from 12,1 to 26,8%, respectively 11,14,15,18 . The antimicrobials not standardized by the List Municipal Standardization, prescribed were cefadroxil, the combination amoxicilin + clavulonic acid, chloramphenicol and azithromycin, also considered of broad spectrum.…”

Section: Discussionmentioning

confidence: 99%

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Compreensão das prescrições pediátricas de antimicrobianos em Unidades de Saúde em um município do sul do Brasil

Menezes

Domingues

Baisch³

2009

Rev. bras. epidemiol.

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The aim of the study was to evaluate the understanding of the antimicrobial prescriptions by children's accompaning adults, describing the medicine utilization profile among Health Units in a South Brazilian city. A cross-sectional study was carried out and its target was people accompanying children during consultations that resulted in antimicrobial prescription (n=209), from May to June, 2007. A score (4-12) was generated to evaluate the understanding based on correct and incorrect/unknown statements about the prescription. Understanding was considered adequate when the score was below 6.5. Schooling (p=0.05), income (p=0.03), skin color (p=0.007) of accompanying person and length of the visit in minutes (p=0.05) were associated to a better understanding of the prescription. Adequate understanding represented 58.9% of the prescriptions. The most prescribed antimicrobials were amoxicilin and the association Trimethoprim-Sulfamethoxazole. The results point out to a need for standardization of written information and educational measures such as oral and written orientation to assure a better understanding of the prescriptions. We therefore assure a better understanding of the prescription, which helps the treatment to succeed, also avoiding the phenomena of microbic resistence.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Compreensão das prescrições pediátricas de antimicrobianos em Unidades de Saúde em um município do sul do Brasil

Menezes

Domingues

Baisch³

2009

Rev. bras. epidemiol.

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“…It is noteworthy that quality evaluations in health should always aim at the welfare of the patient, which is always the focus of the studies. Therefore, monitoring allows detecting the faults and correcting them in order to not compromise the product and the consumer (Abrantes et al 2007). It is possible to relate the bacteria of rice with their intake and activity within the human body.…”

Section: Pathogenic Microorganismsmentioning

confidence: 99%

Microbial Diversity: Relevance and Relationship Between Environmental Conservation And Human Health

Panizzon

Júnior

Knaak

et al. 2015

Braz. arch. biol. technol.

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This work presents bibliographic data on the role and function of microbial diversity. The increasing use of probiotics and prebiotics foods has led to the studies on their actual functions in the human body. It is known that in the environment, microorganisms are extremely important in recycling of nutrients, balance of trophic chains, vital physiological activities in the plants and animals, as well as the conservation of natural habitats. In human food, these microscopic organisms contribute from flavoring products to the synthesis of antimicrobial substances and vitamins essential to living beings.

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“…According to Abrantes et al 6 , apart from the clinical consequences, there is still a social and personal cost of inappropriate use of these drugs, which involves increasing the length of stay, days not worked, school absences, disability and death. Such implications justify efforts towards knowing and rationalizing the use of antimicrobials.…”

Section: Introduction Introduction Introduction Introductionmentioning

confidence: 99%

The cost of excessive postoperative use of antimicrobials: the context of a public hospital

Santana

Viana²,

Santiago³

et al. 2014

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACTObjective Objective Objective Objective Objective: To evaluate the improper use of antimicrobials during the postoperative period and its economic impact. Methods Methods Methods Methods Methods: We conducted a prospective cohort study by collecting data from medical records of 237 patients operated on between 01/ 11/08 and 31/12/08. Results Results ResultsResults Results: from the 237 patients with the information collected, 217 (91.56%) received antimicrobials. During the postoperative period, 125 (57.7%) patients received more than two antimicrobials. On average, 1.7 ± 0.6 antimicrobials were prescribed to patients, the most commonly prescribed antibiotic being cephalothin, in 41.5% (154) of cases. The direct cost of antimicrobial therapy accounted for 63.78% of all drug therapy, this large percentage being attributed in part to the extended antimicrobial prophylaxis. In the case of clean operations, where there was a mean duration of 5.2 days of antibiotics, antimicrobials represented 44.3% of the total therapy cost. ConclusionConclusion Conclusion Conclusion Conclusion: The data illustrate the impact of overuse of antimicrobials, with questionable indications, creating situations that compromise patient safety and increasing costs in the assessed hospital.

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Avaliação da qualidade das prescrições de antimicrobianos dispensadas em unidades públicas de saúde de Belo Horizonte, Minas Gerais, Brasil, 2002

Cited by 23 publications

References 7 publications

Compreensão das prescrições pediátricas de antimicrobianos em Unidades de Saúde em um município do sul do Brasil

Compreensão das prescrições pediátricas de antimicrobianos em Unidades de Saúde em um município do sul do Brasil

Microbial Diversity: Relevance and Relationship Between Environmental Conservation And Human Health

The cost of excessive postoperative use of antimicrobials: the context of a public hospital

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