scholarly journals Potentially inappropriate medication use in a city of Southeast Brazil

2012 ◽  
Vol 48 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Mauro Cunha Xavier Pinto ◽  
Felipe Ferré ◽  
Marcos Luciano Pimenta Pinheiro

Potentially inappropriate medication use by the Diamantina (Minas Gerais State) population was investigated by analyzing medicine consumption, self-medication, polypharmacy and drug interactions of medicines prescribed among those interviewed. Level of knowledge about rational drug use and its relationship to socio-economic variables was also evaluated using a semi-structured questionnaire. This survey was based on stratified sampling of 423 individuals selected randomly. The prevalence of prescription drug consumption was 42.32% (n=179) and cardiovascular drugs were the most prescribed. Drug interactions were found in 45.81% (n=82) of prescriptions and 92.68% (n=76) of these interactions were moderate, with co-administration of cardiovascular drugs occurring in more than half of the cases. The inappropriate use of medication, according to Beers criteria, occurred in 44.73% of prescriptions to the elderly. The prevalence of self-medication was 63.34% (n=268) while 21.99% (n=91) of individuals administered medications to their children without formal prescriptions, where this practice was associated to analgesic/antipyretic consumption. The population showed a high prevalence of inappropriate use of drugs across all strata of society, representing an issue requiring effective actions to promote rational use of medicines.

2012 ◽  
Vol 34 (4) ◽  
pp. 626-632 ◽  
Author(s):  
Márcio Galvão Oliveira ◽  
Welma Wildes Amorim ◽  
Sandra Rêgo de Jesus ◽  
Victor Alves Rodrigues ◽  
Luiz Carlos Passos

2003 ◽  
Vol 37 (7-8) ◽  
pp. 988-993 ◽  
Author(s):  
Shelly L Gray ◽  
Susan C Hedrick ◽  
Ellen E Rhinard ◽  
Anne E Sales ◽  
Jean H Sullivan ◽  
...  

OBJECTIVE: To describe the prevalence of potentially inappropriate medication use in community residential care (CRC) facilities at baseline, describe exposure to potentially inappropriate drugs during the 1-year follow-up, and examine characteristics associated with potentially inappropriate use. DESIGN: A cohort study was conducted using 282 individuals aged ≥65 years entering a CRC facility in a 3-county area in the Puget Sound region of Washington State between April 1998 and December 1998 on Medicaid funding. MAIN OUTCOME MEASURE: Use of potentially inappropriate medications as defined by explicit criteria (e.g., drugs that should generally be avoided in the elderly because potential risks outweigh any potential benefits). RESULTS: Sixty-two (22%) residents took a total of 75 potentially inappropriate medications at baseline. The most common agents used at baseline were oxybutynin (3.5%) and amitriptyline (3.5%). The incidence of new use of potentially inappropriate medications was 0.1/100 person-days during the follow-up period. Potentially inappropriate use was related to self-reported fair or poor health (adjusted OR 1.42; 95% CI 1.05 to 1.92) and number of prescription drugs (adjusted OR 1.12; 95% CI 1.05 to 1.19). In the Cox proportional hazard model, no characteristics predicted new potentially inappropriate medication use during the follow-up. CONCLUSIONS: Potentially inappropriate medication use is common among residents in CRC facilities. A comprehensive periodic review may be beneficial for reducing potentially inappropriate use, especially for patients taking multiple drugs.


2012 ◽  
Vol 13 (S1) ◽  
Author(s):  
Marta Rolevski ◽  
Berina Kučević ◽  
Gordana Boljević ◽  
Snežana Mugoša ◽  
Momir Mikov

2017 ◽  
Vol 11 (12) ◽  
pp. 4919
Author(s):  
Francisco Gilberto Fernandes Pereira ◽  
Maria De Jesus Pereira Araújo ◽  
Claudia Regina Pereira ◽  
Danelle Da Silva Nascimento ◽  
Francisca Tereza de Galiza ◽  
...  

RESUMOObjetivo: analisar a prática de automedicação em idosos ativos. Método: estudo quantitativo, exploratório e descritivo, realizado com 74 idosos ativos, em dois Centros de Referência da Assistência Social (CRAS). A coleta de dados ocorreu em encontros semanais por meio de um formulário com perguntas de características sociodemográficas e relacionadas ao consumo de medicamentos aplicado por meio de encontros semanais ofertados pelo CRAS. Os dados foram analisados pelo Programa estatístico SPSS versão 20.0 com distribuição das frequências absoluta e relativa, em que se realizou inferência numérica de descrição das variáveis organizados em tabelas. Resultados: o grupo estudado demonstrou predomínio de participantes do sexo feminino, 43 (58,1%), analfabetos, 40 (54,1%), e portadores de doenças crônicas, 62 (83,8%). A prática da automedicação foi comum para 57 (77%), com analgésicos e antitérmicos, 32 (56,2%), e desencadeada pela cefaleia, 38 (66,7%), tendo a propaganda forte influência para essa prática em 43 (58,1%). Conclusão: a prática de automedicação é frequente nos idosos, o que repercute na necessidade de trabalhar com grupos de promoção à saúde de modo a reduzir possíveis danos provocados pelo uso inadequado de medicamentos. Descritores: Envelhecimento; Automedicação; Saúde do Idoso. ABSTRACTObjective: to analyze the practice of self-medication in the elderly population. Method: this is a quantitative, exploratory and descriptive study carried out with 74 active elderly people in two Social Assistance Reference Centers (CRAS). The data collection took place in weekly meetings through a form with questions of socio-demographic characteristics and related to the consumption of medicines applied through weekly meetings offered by CRAS. The data were analyzed by the SPSS statistical software version 20.0, with absolute and relative frequency distribution, in which numerical inference was performed on the description of the variables organized in tables. Results: the group studied showed a predominance of 43 (58.1%) female, 40 illiterate (54.1%) and 62 patients with chronic diseases (83.8%). The practice of self-medication was common for 57 (77%), analgesic and antipyretic with 32 (56.2%), and triggered by a headache with 38 (66.7%), with strong advertising influencing this practice in 43 patients (58, 1%). Conclusion: the practice of self-medication is frequent in the elderly population, which has repercussions on the need to work with health promotion groups to reduce the possible harm caused by inappropriate medication use. Descriptors: Aging; Self-Medication; Health of the Elderly.RESUMENObjetivo: analizar la práctica de automedicación en ancianos activos. Método: estudio cuantitativo, exploratorio y descriptivo, realizado con 74 ancianos activos, en dos Centros de Referencia de la Asistencia Social (CRAS). La recolección de datos fue en encuentros semanales por medio de un formulario con preguntas de características sociodemográficas y relacionadas al consumo de medicamentos aplicado por medio de encuentros semanales ofertados por el CRAS. Los datos fueron analizados por el Programa estadístico SPSS versión 20.0, con distribución de las frecuencias absoluta y relativa, en que se realizó inferencia numérica de descripción de las variables organizadas en tablas. Resultados: el grupo estudiado demostró predominio de participantes del sexo femenino 43 (58,1%), analfabetos 40 (54,1%) y portador de enfermedades crónicas 62 (83,8%). La práctica de la automedicación fue común para 57 (77%), con analgésicos y antitérmicos 32 (56,2%), y desencadenada por la cefaléa 38 (66,7%), teniendo la propaganda fuerte influencia para esa práctica en 43 (58,1%). Conclusión: la práctica de automedicación es frecuente en los ancianos, lo que repercute en la necesidad de trabajar con grupos de promoción a la salud de modo a reducir posibles daños provocados por el uso inadecuado de medicamentos. Descriptores: Envejecimiento; Automedicación; Salud del Anciano.


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