Perfil de medicamentos descartados pelos usuários do sistema único de saúde no município de Divinópolis-MG

O objetivo do estudo foi orientar profissionais e usuários do Sistema Único de Saúde (SUS) sobre o descarte e armazenamento de medicamentos, além de identificar o perfil de medicamentos descartados, em Divinópolis, Minas Gerais. As quatro etapas do estudo foram desenvolvidas de Março a Dezembro de 2014, a saber: 1) a escolha de doze Unidades de Saúde (Unidade Básica de Saúde ou Estratégia de Saúde da Família); 2)contato com a unidade de saúde para agendamento da palestra educativa; 3) realização da palestra e coleta dos medicamentos descartados; 4) Análise do perfil dos medicamentos coletados. Foram recolhidas 11.518 unidades de medicamentos, sendo 9.729 vencidos (84,5%). A forma farmacêutica mais encontrada foi o comprimido (95,2%). As classes farmacológicas mais coletadas foram os anti-hipertensivos (22,0%), hipoglicemiante oral (10,7%) e antiagregante plaquetário (10,6%). Observou-se elevada frequência de medicamentos vencidos, o que evidencia a necessidade de estratégias educativas para pacientes e equipe de saúde

Armazenamento e descarte de medicamentos:: Estratégia educativa e perfil de medicamentos descartados

The objective of study was guide health professionals and users of Brazilian Public Health System (Sistema Único de Saúde -SUS) about the disposal and storage of drugs, besides to identify the discarded drug profile, in Divinópolis city, Minas Gerais. The four stages of the study were developed from March to December 2014: 1) 12 health care centers selected (Primary health care units); 2) contact with health care centers for scheduling the educational lecture; 3) educational lecture and drugs collection were done; 4) Analysis of the drugs profile. It were collected 11,518 unit of drugs, 9,729 (84.5%) was expired. The most frequent pharmaceutical form was tablets (95.2%). The most collected pharmacological classes were anti-hypertensive (22.0%), oral hypoglycemic agents (10.7%) and antiplatelet (10.6%). There was a high frequency of expired drugs, which highlights the need for educational strategies for patients and health professionalsO objetivo do estudo foi orientar profissionais e usuários do Sistema Único de Saúde (SUS) sobre o descarte e armazenamento de medicamentos, além de identificar o perfil de medicamentos descartados, em Divinópolis, Minas Gerais. As quatro etapas do estudo foram desenvolvidas de Março a Dezembro de 2014, a saber: 1) a escolha de doze Unidades de Saúde (Unidade Básica de Saúde ou Estratégia de Saúde da Família); 2)contato com a unidade de saúde para agendamento da palestra educativa; 3) realização da palestra e coleta dos medicamentos descartados; 4) Análise do perfil dos medicamentos coletados. Foram recolhidas 11.518 unidades de medicamentos, sendo 9.729 vencidos (84,5%). A forma farmacêutica mais encontrada foi o comprimido (95,2%). As classes farmacológicas mais coletadas foram os antihipertensivos (22,0%), hipoglicemiante oral (10,7%) e antiagregante plaquetário (10,6%). Observou-se elevada frequência de medicamentos vencidos, o que evidencia a necessidade de estratégias educativas para pacientes e equipe de saúde.El objetivo fue orientar a los profesionales y usuarios del Sistema Único de Salud (SUS) sobre la eliminación y el almacenamiento de los medicamentos e identificar el perfil de medicamentos eliminados, en Divinópolis, Minas Gerais. Las cuatro etapas del estudio se han desarrollado de marzo a diciembre de 2014:1) la elección de doce Unidades de Salud (atención primaria de salud); 2) en contacto con la unidad de salud para la programación; 3) la realización de la charla y la recogida de los medicamentos eliminados; 4) el análisis del perfil de los medicamentos recogidos. Fueron recogidos 11.518 unidades de medicamentos, sendo 9.729 se encontraban fuera del período de validez (84,5%). La forma farmacêutica mas encontrada fue el comprimido (95,2%). Las clases farmacológicas mas encontradas fueron antihipertensivos (22,0%), hipoglucemiantes orales (10,7%) y antiagregantes (10,6%). Se notó alta frecuencia de productos caducados, que pudo envidenciar la necesidad de estrategias educativa

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p < 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p<0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p<0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology