Análise de prescrições de medicamentos dispensados na rede pública do município de Venâncio Aires-RS.

Abstract

According to the World Health Organization, more than half of all medicines are misused and less than 50% of countries implement basic policies to promote the rational use of medicines. In this sense, the abusive, insufficient or inappropriate use of medicines harms the health of the population and wastes public resources. With that in mind, the WHO created a guidance protocol with pre-defined parameters for any and all medical prescriptions, with the aim of making them a working tool in health services, capable of describing the pattern of use and practice of prescribing medicines. The objective of this work is to analyze the drug prescriptions dispensed by the municipal pharmacy of Venâncio Aires, regarding the prescription indicators of the World Health Organization and the National List of Essential Medicines (RE NAME) and RDC 44/2009. This was a cross-sectional study, with descriptive analysis of data collected in medical prescriptions from a public pharmacy, considering the prescription indicators of the World Health Organization and the indicators of RDC nº 44/2009, which determines how the pharmacist should evaluate the recipes. All medical prescriptions that contain medication in the prescription and that were dispensed by the municipal pharmacy in the period from June 1 to 30, 2022 were evaluated.The results obtained in the analysis of the prescription indicators showed that the average of prescription drugs (2.05%), prescription of present RENAME (84.68%) and injectable drugs (3.81%) is within the recommended by WHO, while the percentage of drugs prescribed by generic name (87.81%) is below the recommended level and the prescriptions in which antibiotics were prescribed (27.10%) are above the WHO pre scription indicators. Regarding the ATC Classification System, the 5 main therapeutic classes were antibacterials for systemic use (13.52%), analgesics (9.49%), psycholeptics (9.21%), an tiparkinson (7.89 %) and antiepileptic (7.73%). As for RDC nº 44/2009, 87.27% of the 1,155 recipes analyzed were found to be legible and without erasures. In 65.45% the prescriptions were digitalized and 34.55% were written manually. In 98.27% of the prescriptions they con tained the drug concentration, 97.66% its pharmaceutical form and number of pills, 85.45% had a dosage, 95.24% had the prescriber’s signature and CRM and in 98 ,18% there was the place where the recipe was acquired. Studies like this one can guide and provide crucial data on the rational use of medicines and emphasize the need to update the RENAME and professional capacity for prescribing medicines, in order to adapt the epidemiological profile of patients treated by the municipal pharmacy.