ArticleRevista da Escola de Enfermagem da U S P2026
Antibiotic leftovers in primary health care: an approach to economic impact and pharmaceutical care.
Article in Revista da Escola de Enfermagem da U S P, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 authors.
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Abstract
objectiveTo evaluate the results of antibiotic dispensing in a Primary Health Care Unit in the municipality of São Paulo and to explore users' knowledge regarding the use and disposal of antibiotics through pharmaceutical consultation.
methodA prospective, quantitative study was conducted between January and April 2024, through the analysis of oral antibiotic prescriptions and pharmaceutical consultations using a semi-structured questionnaire.
resultsIt was identified that 81.9% (n = 1,225) of 1,495 prescriptions resulted in leftover medication, generating a waste of 8,061 pharmaceutical units and an estimated financial loss of R$2,349.54. Among the 17 users interviewed, there was low knowledge about antimicrobial resistance, medication use and disposal. Only 29.4% (n = 5) returned the leftover medication after pharmaceutical intervention.
conclusionDispensing medication with leftovers encourages the improper use and disposal of antibiotics, contributing to antimicrobial resistance. Pharmaceutical care, within a multidisciplinary team approach, has the potential to reduce waste and promote rational use. We propose the implementation of unit-dose packaging protocols and educational initiatives for professionals and users.
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