1267/2009 - Utilização de benzodiazepínicos no serviço municipal de saúde de Coronel Fabriciano, Minas Gerais Utilization of benzodiazepines in local public health services, Coronel Fabriciano - Minas Gerais
• Karleyla Fassarelo Firmino - Firmino, K.S. - Universidade Federal de Minas Gerais - <karleyla@superig.com.br>
Área Temática:
Não Categorizado
Resumo:
Benzodiazepínicos são medicamentos cujo uso inadequado está relatado na literatura. Neste estudo foram avaliadas suas indicações no serviço municipal de saúde de Coronel Fabriciano–MG, verificando sua conformidade com o preconizado pela literatura. O estudo avaliou todas as receitas desses medicamentos provenientes das Unidades municipais de Saúde no período de Setembro a Outubro de 2006, os formulários de indicação clínica preenchidos pelo prescritor e cadastros informatizados do serviço. Analisaram-se 1.866 receitas, sendo 59,7% do Diazepam e o restante do Clonazepam. A Dose Diária Definida por mil habitantes por dia foi de 24,69 para o Diazepam e de 3,58 para o Clonazepam. Cerca de 50% das indicações relatadas pelos médicos foram como hipnótico ou ansiolítico, 21,9% para “uso crônico/dependência” e o restante para outras indicações. Das receitas que atenderam aos critérios de inclusão para análise da adequação da indicação (1618), cerca de 70% foram consideradas não adequadas, tendo em vista a indicação e o tempo de tratamento. Houve um alto percentual de inadequação na utilização de benzodiazepínicos, principalmente pelo uso prolongado e para atender a casos considerados pelos prescritores como uso crônico/dependência. Assim, há responsabilidade do serviço de saúde na manutenção da dependência.
Benzodiazepínicos, uso racional, diazepam, sistemas de saúde, epidemiologia
Abstract:
Benzodiazepine is a medication which inadequate use is reported. Indications for this drug at the healthcare services of the city of Coronel Fabriciano (Brazil) were analyzed in terms of compliance with the indications established in the literature. The study was carried out using all prescriptions for benzodiazepines at municipal healthcare units between September and October 2006 as well as the clinical indication form filled out by the prescriber and computer files. A total of 1866 prescriptions were analyzed; 59.7% were for diazepam and the rest were for clonazepam. The mean daily dose per 1000 inhabitants/day was 24.69 for diazepam and 3.58 for clonazepam. Approximately 50% of the indications were as a hypnotic or anti-anxiety medication; 21.9% were for “chronic use/dependence” and the rest were for other indications. Among the prescriptions that fulfilled the inclusion criteria for the analysis of indication adequacy (1618), approximately 70% were found to be inadequate considering the indication and duration of treatment. It reveals a high percentage of the inadequate use of benzodiazepines, especially due to prolonged use and the treatment of cases considered by the prescribers as chronic use/dependence. So there is a responsibility of healthcare services regarding the maintenance of dependence. Benzodiazepine, rational use, diazepam, health systems, epidemiolog
Utilization of benzodiazepines in local public health services, Coronel Fabriciano - Minas Gerais
Resumo (abstract):
Benzodiazepine is a medication which inadequate use is reported. Indications for this drug at the healthcare services of the city of Coronel Fabriciano (Brazil) were analyzed in terms of compliance with the indications established in the literature. The study was carried out using all prescriptions for benzodiazepines at municipal healthcare units between September and October 2006 as well as the clinical indication form filled out by the prescriber and computer files. A total of 1866 prescriptions were analyzed; 59.7% were for diazepam and the rest were for clonazepam. The mean daily dose per 1000 inhabitants/day was 24.69 for diazepam and 3.58 for clonazepam. Approximately 50% of the indications were as a hypnotic or anti-anxiety medication; 21.9% were for “chronic use/dependence” and the rest were for other indications. Among the prescriptions that fulfilled the inclusion criteria for the analysis of indication adequacy (1618), approximately 70% were found to be inadequate considering the indication and duration of treatment. It reveals a high percentage of the inadequate use of benzodiazepines, especially due to prolonged use and the treatment of cases considered by the prescribers as chronic use/dependence. So there is a responsibility of healthcare services regarding the maintenance of dependence. Benzodiazepine, rational use, diazepam, health systems, epidemiolog
Firmino, K.S.. Utilização de benzodiazepínicos no serviço municipal de saúde de Coronel Fabriciano, Minas Gerais. Cien Saude Colet [periódico na internet] (2010/fev). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/utilizacao-de-benzodiazepinicos-no-servico-municipal-de-saude-de-coronel-fabriciano-minas-gerais/4951?id=4951&id=4951