Introduction: Irrational drug use is a severe problem affecting public health, increasing morbidity, mortality rates, and treatment costs. Healthcare personnel has important responsibilities in this regard. In this study, we aimed to evaluate the knowledge, attitudes, and behaviors of pharmacists, assistant pharmacists, and pharmacy technicians.Materials and Methods: Pharmacists, assistant pharmacists, and technicians working in pharmacies registered in an urban area were reached. Volunteers with the support extended to literature Turkey Pharmaceuticals and Medical Devices Agency, Department of Rational Drug Use ‘Survey of Hospital Pharmacists were required to be filled out online.Results: 156 pharmacy personnel voluntarily participated in the study. Of the volunteers, 48.1% were pharmacists, 4.5% pharmacy assistants, and 47.4% pharmacy technicians. 59% of the participants declared that they did not receive training on rational drug use. Among pharmacy technicians, this rate is 73%. All pharmacies monitor the drug monitoring with electronic devices or instant measurements by the responsible persons; 99.4% of the participants stated that they informed the patient about the storage conditions of the drug, and 84% informed the health personnel about the drug with a special preparation condition. 18.6% of the participants reported one or more adverse events in the last two years. It has been determined that there is no complete standardization in the disposal of residual/waste drugs for drugs from patients.Conclusion: In order to organize rational drug use training for pharmacy technicians, implement a standard method for waste residual medicine management, and increase feedback on pharmacovigilance practices, it is necessary to encourage the staff.
ABSTRACT
INTRODUCTION: This study aimed to evaluate treatment adherence and rational drug use in hemodialysis patients and investigate predictive factors on dialysis adequacy.
MATERIAL AND METHOD: This is a cross-sectional descriptive study. The data were obtained by examining face-to-face questionnaires and patient files. The Hospitalized Patient Questionnaire and the End Stage Kidney Disease Compliance Questionnaire (ESRD-AQ) were administered to the patients. Kt/V was used for dialysis proficiency. By examining the obtained data, the variables that can be associated with the Kt/V value were investigated.
RESULTS: A total of 145 patients were included in the study, 69% of the participants were over 51 years of age and 54.5% were male. Median Kt/v level was 1,38 (Q1=1,25; Q3=1,54). As for the medications, those with Kt∕V≥1.2 were found to be using more antihypertensive agents, folic acid, vitamin B12, and vitamin C but less levocarnitine concerning the group with Kt/V
Amaç: Uyuz hastalığı (Skabiyes) dünyada yaygın olarak görülen kaşıntılı, döküntülü ve bulaşıcı ektoparaziter bir hastalıktır. Etken Sarcoptes scabiei var. hominis adı verilen mikroskobik bir eklem bacaklıdır. Her yaş, cinsiyet, coğrafya ve kültürden insanı etkileyebilir. Gelişmekte olan ülkeler, tropikal ve subtropikal ülkelerde endemik olan parazit nedenli bu hastalık, büyük kalabalıklar ve hijyenin korunamadığı ortamlarda salgınlar yapabilir. Tedavide topikal ve oral olarak kullanılan seçenekler kısıtlı sayıdadır. Permetrin, Benzil Benzoat, Kükürtlü merhemler, Lindan, İvermektin gibi ilaçların birçoğu toksik etkilerinden dolayı bebek, çocuk, gebe ve laktasyon ile ilgili kısıtlılıklar nedeniyle risk altındaki tüm popülasyonlara uygulanamamaktadır. Scabiyes tedavi edilmediğinde, özellikle pediyatrik yaş grubunda görülen piyoderma, impetigo gibi sekonder enfeksiyonların da tabloya eklenmesi, hastalığın yükünü artırmaktadır. Bu nedenle daha az toksik etkileri olan ilaç arayışları halihazırda kullanılagelen bitkilere olan ilgiyi de canlı tutmaktadır.Sonuç ve Tartışma: Sporadik ya da epidemik tüm vakalarda, yayılımı önlemek için skabiyesin etkin tedavisi şarttır. Başarılı bir tedavi, ilaç uygulamasının doğru yapılmasına, tedavinin komplikasyonlar ve semptomları kontrol etmeye yönelik ek yaklaşımları içermesine ve beraberinde koruyucu önlemlerin alınmasına bağlıdır. Bu derlemede skabiyes, tedavisi, kullanılan ilaçlar, kullanılma potansiyeli olan yeni ilaçlar ve geleneksel olarak kullanılan bitkiler incelenmiştir. Ülkemizde yetişen, tanınan ve yetişme potansiyeli olan 49 taksonun uyuz hastalığı tedavisinde kullanıldığı belirlenmiştir.
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