Fatores Associados à Automedicação em um Serviço Brasileiro de Emergência Odontológica

Abstract

Objetivo: investigar os fatores associados à automedicação por pacientes atendidos em um serviço de emergências odontológicas em Belo Horizonte, MG, Brasil. Métodos: foi aplicado um questionário entre 174 pacientes atendidos na emergência odontológica contendo informações referentes ao gênero, idade e questões específicas como consumo anterior de medicamentos, ervas medicinais ou outras substâncias para o alívio da sintomatologia dolorosa. O diagnóstico clínico foi definido por somente um dentista. Análise bivariada e regressão multivariada de Poisson com variância robusta foram realizadas no programa SPSS 18.0. O estudo foi aprovado pelo Comitê de Ética de Pesquisa em Humanos. Resultados: a média de idade foi de 32,6 (+12,0) anos e 51,8% eram mulheres. Entre os participantes do estudo, 81,7% relataram terem se automedicado. A idade (p=0,83), a duração da dor (p=0,21) e o gênero (p=0,85) não estiveram associados à variável resposta. A frequência da automedicação foi mais alta (p-0,04) entre indivíduos com pulpites agudas (86,8%) e abscessos periapicais (84,7%). Somente o diagnóstico clínico esteve associado à automedicação na análise multivariada de Poisson. Comparando a outros diagnósticos, indivíduos com pulpites relatam 2,3 mais chances de se automedicarem (IC95% 1.1-5.0; p=0.03). Conclusão: a automedicação é um problema de saúde pública preocupante entre o grupo estudado. O diagnóstico clínico é o único fator que influencia este fenômeno dentre a população estudada. Automedicação; Dor de dente; Emergências.Objective: To investigate factors associated with self-medication by patients treated at a public emergency dental service in Belo Horizonte, MG, Brazil. Method: A questionnaire was applied to174 patients who have been treated in the emergency dental service, with information about gender, age and specific questions about previous consumption of medicines, medicinal herbs or other substances to relieve dental pain. Clinical diagnosis was established by a single dentist. Bivariate analysis and multivariate Poisson regression with robust variance were carried out in SPSS 18.0 software for Windows. The study was approved by the local Human Research Ethics Committee. Results: The mean age of the patients was 32.6 (±12.0) years and 51.8% were female. Among the participants in the survey, 81.7% reported self-medication. Age (p=0.83), duration of pain (p=0.21) and gender (p=0.85) were not associated. Frequency of self-medication was higher (p=0.04) among individuals with pulpitis (86.8%) and periapical abscess (84.7%). Only clinical diagnosis was associated with self-medication in the multivariate Poisson analysis. Patients with pulpitis reported 2.3 times more self-medication (IC95% 1.1-5.0; p=0.03) than individuals with other diagnoses. Conclusion: Self-medication was an important health problem in the studied this surveyed group. Clinical diagnosis was the only factor that influenced this phenomenon.

Automedicação entre estudantes de uma instituição de ensino superior de Goiás

“…As formulações medicamentosas 16 . Em relação à dipirona sódica, medicamento mais utilizado pelos participantes do estudo, essa é normalmente indicada como analgésico e antipirético e tem sido identificada como formulação medicamentosa muito comum em estudos sobre automedicação 14,18,[21][22][23][24] , sendo relatadas, inclusive, consequências negativas para a saúde de quem pratica a automedicação, devido ao uso descontrolado e abusivo.…”

Dental pain prevalence among health care personnel

“…A study carried out in an emergency dental service in Minas Gerais has observed self-medication prevalence of 79.3% of users of such service 21 . The Brazilian Association of Pharmaceutical Industries (ABIFARMA) estimates that 80 million people practice self-medication 22 .…”

Self-Medication in Pre- And Postoperative Conditions in Tooth Extraction

“…6 In dentistry, self-medication may be more frequent, in part due to difficulty accessing oral health services and in part due to patient unawareness of his own health condition. 7 In a study performed in an emergency dental service from Belo Horizonte in Minas Gerais, it was observed that among 174 questioned patients, 41.6% decided to take some medicine on their own, and 79.3% used some medicine for pain relief. It was also observed that more selfmedication occurred in cases of pulpitis (dental pulp inflammation) and abscesses (purulent collection in soft tissues).…”

“…In addition, patients reported painful symptomatology about nine days before searching for emergency care, which revealed difficulty accessing public service. 7 In this way, the use of dental drugs must be advised, supervised and monitored throughout its time of use because self-medication has consequences such as: intoxication, adverse effects, delay in diagnosis and drug interactions.…”

“…In this context, a dental clinic must frequency expectance of self-medication in dentistry was considered. [7][8] The standard error probability 1 − beta was 0.80, the effect size considered was medium (0.…”