Pharmaceutical recommendations in a university hospital transplant unit

Introduction: The transplanted patient has a complex pharmacotherapy, with the pharmacist having an important role in the multidisciplinary team. Objective: To analyze the pharmaceutical recommendations made during the hospitalization of the patients in kidney and liver transplant units. Methods: T...

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Autores principales:	Maria K. Pinheiro, Elana F. Chaves, Alene B. Oliveira, Cinthya C. Andrade, Katherine X. Bastos, Marjorie M. Guedes
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/66111f75b57b40bfb799a2167df53fbe
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spelling	oai:doaj.org-article:66111f75b57b40bfb799a2167df53fbe2021-11-28T02:46:06ZPharmaceutical recommendations in a university hospital transplant unit10.30968/rbfhss.2019.104.03612179-59242316-7750https://doaj.org/article/66111f75b57b40bfb799a2167df53fbe2020-03-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/361https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Introduction: The transplanted patient has a complex pharmacotherapy, with the pharmacist having an important role in the multidisciplinary team. Objective: To analyze the pharmaceutical recommendations made during the hospitalization of the patients in kidney and liver transplant units. Methods: This was a cross-sectional study in which pharmaceutical recommendations from May 2017 to April 2018 were collected from the records contained in the database of the Clinical Pharmacy Unit of a University Hospital in Fortaleza, Brazil. The recommendations were categorized and analyzed based on the classification used in the institution. Results: There were 1241 pharmaceutical recommendations involving 325 patients and 1466 medications. The recommendations were more frequent during liver transplantation (54.2%, n = 672), with dose adjustments (18.2%, n = 122) and dilution / reconstitution (9.8%, n = 66) being the most predominant types. In kidney transplantation, recommendations for education about medication use (17.6%, n = 100) and treatment adherence strategies (17.6%, n = 100) were the most predominant. The most frequent therapeutic classes were systemic antibacterials (31.2%, n = 458) and immunosuppressants (25.1%, n = 368). The acceptance rate of recommendations for kidney and liver transplantation were 95.1% (n = 541) and 95.4% (n = 641), respectively. Conclusions: The present study showed a high frequency of pharmaceutical recommendations and these results demonstrate that the detection of drug-related problems generates pharmaceutical recommendations that can contribute to the reduction of negative drug-associated results and increase patient safety. Maria K. PinheiroElana F. ChavesAlene B. OliveiraCinthya C. AndradeKatherine X. BastosMarjorie M. GuedesSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 10, Iss 4 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Maria K. Pinheiro Elana F. Chaves Alene B. Oliveira Cinthya C. Andrade Katherine X. Bastos Marjorie M. Guedes Pharmaceutical recommendations in a university hospital transplant unit
description	Introduction: The transplanted patient has a complex pharmacotherapy, with the pharmacist having an important role in the multidisciplinary team. Objective: To analyze the pharmaceutical recommendations made during the hospitalization of the patients in kidney and liver transplant units. Methods: This was a cross-sectional study in which pharmaceutical recommendations from May 2017 to April 2018 were collected from the records contained in the database of the Clinical Pharmacy Unit of a University Hospital in Fortaleza, Brazil. The recommendations were categorized and analyzed based on the classification used in the institution. Results: There were 1241 pharmaceutical recommendations involving 325 patients and 1466 medications. The recommendations were more frequent during liver transplantation (54.2%, n = 672), with dose adjustments (18.2%, n = 122) and dilution / reconstitution (9.8%, n = 66) being the most predominant types. In kidney transplantation, recommendations for education about medication use (17.6%, n = 100) and treatment adherence strategies (17.6%, n = 100) were the most predominant. The most frequent therapeutic classes were systemic antibacterials (31.2%, n = 458) and immunosuppressants (25.1%, n = 368). The acceptance rate of recommendations for kidney and liver transplantation were 95.1% (n = 541) and 95.4% (n = 641), respectively. Conclusions: The present study showed a high frequency of pharmaceutical recommendations and these results demonstrate that the detection of drug-related problems generates pharmaceutical recommendations that can contribute to the reduction of negative drug-associated results and increase patient safety.
format	article
author	Maria K. Pinheiro Elana F. Chaves Alene B. Oliveira Cinthya C. Andrade Katherine X. Bastos Marjorie M. Guedes
author_facet	Maria K. Pinheiro Elana F. Chaves Alene B. Oliveira Cinthya C. Andrade Katherine X. Bastos Marjorie M. Guedes
author_sort	Maria K. Pinheiro
title	Pharmaceutical recommendations in a university hospital transplant unit
title_short	Pharmaceutical recommendations in a university hospital transplant unit
title_full	Pharmaceutical recommendations in a university hospital transplant unit
title_fullStr	Pharmaceutical recommendations in a university hospital transplant unit
title_full_unstemmed	Pharmaceutical recommendations in a university hospital transplant unit
title_sort	pharmaceutical recommendations in a university hospital transplant unit
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/66111f75b57b40bfb799a2167df53fbe
work_keys_str_mv	AT mariakpinheiro pharmaceuticalrecommendationsinauniversityhospitaltransplantunit AT elanafchaves pharmaceuticalrecommendationsinauniversityhospitaltransplantunit AT aleneboliveira pharmaceuticalrecommendationsinauniversityhospitaltransplantunit AT cinthyacandrade pharmaceuticalrecommendationsinauniversityhospitaltransplantunit AT katherinexbastos pharmaceuticalrecommendationsinauniversityhospitaltransplantunit AT marjoriemguedes pharmaceuticalrecommendationsinauniversityhospitaltransplantunit
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Pharmaceutical recommendations in a university hospital transplant unit

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