Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil

Drug interactions (DI) are a significant public health problem, and are associated with increased health care costs. The objective of this study was to evaluate the clinical occurrence of DI in patients with suspected adverse reactions in a hospital. We conducted a segment study with non-concurrent...

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Detalles Bibliográficos
Autores: Gonçalves, Suéllyn dos Santos, Rodrigues, Hosana Maria Santos, de Jesus, Inocêncio Silva, Carneiro, Jose Ailton Oliveira, Lemos, Gisele da Silveira
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Universidade Municipal de São Caetano do Sul (USCS)
Repositorio:Revista de Atenção à Saúde
Idioma:portugués
OAI Identifier:oai:ojs2.seer.uscs.edu.br:article/3088
Acceso en línea:http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/3088
Access Level:acceso abierto
Palabra clave:prescrições
interações de medicamentos
pacientes internados
Prescriptions
drug interactions
inpatients.
Descripción
Sumario:Drug interactions (DI) are a significant public health problem, and are associated with increased health care costs. The objective of this study was to evaluate the clinical occurrence of DI in patients with suspected adverse reactions in a hospital. We conducted a segment study with non-concurrent prospective follow-up of 31 medical records. In the analysis of the data was used the Micromedex® database and ICD-10 and ATC classifications. It was observed that 61.3% of patients were male with a mean age of 56±23.8 years. We analyzed 858 prescriptions andfound 1507 drug interactions. Of these, 35% were highly severe and 33% were moderately severe. From the overall DI, 53.0% were clinically observed – and 11.08% caused adverse reactions. To verify the association between the occurrence of DI and sex, age and number of drugs prescribed, it was used technical binary logistic regression and the odds ratio (OR) were calculated with confidence intervals of 95% (95% CI). By the analysis of the results, it was concluded that the amount of drugs, age and sex are directly associated with the occurrence of DI and knowing these variables can minimize damage and health risks.