Prescripción de medicamentos en las farmacias
Drugs prescription by the pharmacy’s staff without medical supervision is a very common situation. For this reason we performed a study to assess the behaviour of pharmacy’s staff by means of a structured enquiry regarding seven common ambulatory medical problems. Voluntary medical students were...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=3200 |
| Sumario: | Drugs prescription by the pharmacy’s staff without medical supervision is a very
common situation. For this reason we performed a study to assess the behaviour
of pharmacy’s staff by means of a structured enquiry regarding seven common
ambulatory medical problems. Voluntary medical students were trained to simulate
the following medical situations: 1: Upper respiratory tract infection, 2: Acute
diarrhea, 3: Dysuria, 4: Genital ulceration, 5: Arterial hypertension, 6: Acute
cephalea, 7: Ankle arthralgia. 100 interviews were performed and every situation
at least 12 times. Only in 28% of the cases no treatment was prescribed. The 72
prescriptions were performed by 38 pharmacists, 20 technicians and 14 unskilled
employees. In 58.3% of the cases the suggested medication was considered
inadequate, in 51.4% was iatrogenic and in 50% the dose was wrong. The most
prescribed medications were antibiotics (23.6%), NSAIDs (20.8%), anti diarrhea
medications (11.8%) and common cold drugs (9.7%). The highest rates of
prescription were reached in situation 7 (100%), 1 (93.7%) and 2 (84.6%). The
prescription rates in situations 4 (OR, 0.16) and 5 (OR, 0.22) were significantly
lower (p < 0.05). The prescription was incorrect in 100% of situations 2 and 4 and
was considered iatrogenic in 100% of situations 2, 4 and 5. In 48 cases a medical
consultation was proposed, mainly in situation 5 (OR, 4.27; p= 0.01).
This study shows that in pharmacies of Mendoza the prescription and selling of
drugs without clinical indication is quite common and seriously influences patient's
safety and health.
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