Automedicação em profissionais de enfermagem: uma revisão sistemática
DOI:
https://doi.org/10.5281/zenodo.13829292Palavras-chave:
automedicação, equipe de enfermagem, uso inadequado de medicamentos, resistência a antibióticosResumo
Introdução: a automedicação é a prática de uso de medicamentos sem supervisão de um profissional de saúde.
Objetivo: analisar as implicações da automedicação para a saúde dos trabalhadores de enfermagem por meio de uma revisão sistemática das evidências disponíveis.
Método: foi realizada uma revisão sistemática sobre automedicação em trabalhadores de enfermagem, baseada em evidências científicas publicadas em bases de dados indexadas como PubMed, Google Scholar, Trip Medical Database e British Medical Journal (BMJ), no período 2019-2024. A revisão sistemática seguiu uma série de etapas metodológicas rigorosas estabelecidas na declaração PRIAUTOMEDICACIÓN 2020, tendo sido levados em consideração critérios de inclusão e exclusão.
Resultados: a prevalência de automedicação com antibióticos variou de 7,3% a 85,59%, com prevalência geral de 42,64%. As taxas de prevalência diferiram consideravelmente entre os países e os sujeitos do estudo. O resfriado comum, dor de garganta, febre, doenças do trato gastrointestinal e doenças respiratórias eram as doenças comuns de automedicação. O antibiótico mais utilizado para automedicação foi a amoxicilina, seguido dos macrolídeos (azitromicina), fluoroquinolonas (ciprofloxacina), cefalosporinas e metronidazol.
Conclusões: existem diferentes formas de comunicar à população os graves efeitos que a automedicação pode produzir, bem como as demandas do governo, da gestão da Saúde Pública, através de farmacêuticos, assistentes sociais, comunicadores, para erradicar o desafio da automedicação. -medicação nesta região.
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Referências
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9. Roy N, Islam MN, Shahjalal M, Siddiky A, Imran SM, Aktarujjaman M, Hossain MM, Rogers BT, Biswas KK, Hossain E. Self-Medication Practices among Adult Population in Bangladesh: A Cross-Sectional Study. Epidemiologia (Basel) [Internet]. 2024 Apr 1 [citado 2024 Sep 12]; 5(2):146-159. DOI: https://doi.org/10.3390/epidemiologia5020010
10.Nusrat N, Zenis B, Shoma M, Sunil K. Trends in Practices of Self-Medication with Antibiotics among Medical Undergraduates in India. J Pharm Bioallied Sci [Internet]. 2022 May 19 [citado 2024 Sep 12]; 14(1):19-24. DOI: https://doi.org/10.4103/jpbs.jpbs_17_21
11.Kotwani A, Joshi J, Lamkang AS, Sharma A, Kaloni D. Knowledge and behavior of consumers towards the non-prescription purchase of antibiotics: an insight from a qualitative study from New Delhi, India. Pharm Pract (Granada) [Internet]. 2021 [citado 2024 Sep 12]; 19(1):2206. DOI: https://doi.org/10.18549/pharmpract.2021.1.2206
12.Niadawe Issaka I. Self-medication with antibiotics and knowledge about antibiotic resistance among nursing practitioners at a tertiary hospital in Northern Ghana: a cross-sectional survey study. Research Square. [Internet]. 2021 Jun 28 [cited 2024 Sep 12]: 1-27. DOI: https://orcid.org/0000-0002-2774-0629
13.Vida Christanti J, Prayitno Setiadi A, Irawati Wibowo Y, Presley B, Halim SV, Setiawan E, Sunderland B. A cross-sectional assessment of Indonesian female health cadres’ knowledge and attitude towards antibiotics. J Infect Dev Ctries [Internet]. 2021 Oct 31 [cite 2024 Sep 12]; 15(10):1453-1461. DOI: https://doi.org/10.3855/jidc.14325
14.Win PS, Win T, Soe PP. Self-medication with antibiotics among youths from Myanmar. Int J Commun Med Public Health [Internet]. 2021 Mar [citado 2024 Sep 12]; 8(3):1047-51. DOI: https://doi.org/10.18203/2394-6040.ijcmph20210780
15.Tadesse YB, Kassaw AT, Belachew EA. Evaluating self-medication practices in Ethiopia. J Pharm Policy and Pract [Internet]. 2023 Mar 21 [citado 2024 Sep 12]; 16(1):47. DOI: https://doi.org/10.1186/s40545-023-00553-0
16.Belamarić G, Bukumirić Z, Vuković M, Spaho RS, Marković M, Marković G, et all. Knowledge, attitudes, and practices regarding antibiotic use among the population of the Republic of Serbia – A cross-sectional study. J Infect Public Health [Internet]. 2023 Dec [citado 2024 Sep. 12]; 16(suppl 1):111-118. DOI: https://doi.org/10.1016/j.jiph.2023.11.009
17.Tshokey T, Adhikari D, Jamtsho T, Wangdi K. Assessing Knowledge, Attitudes and Practices on Antibiotics amongst University Graduates in Bhutan: A Cross-Sectional Survey. Asia Pac J Public Health [Internet]. 2020 [citado 2024 Sep 12]; 10(1):35-45. DOI: https://doi.org/10.9734/ajess/2020/v10i130259
18.Nusrat N, Zenis B, Shoma M, Sunil K. Trends in Practices of Self-Medication with Antibiotics among Medical Undergraduates in India. J Pharm Bioallied Sci [Internet]. 2022 May 19 [citado 2024 Sep 12]; 14(1):19-24. DOI: https://doi.org/10.4103/jpbs.jpbs_17_21
19.Dhedhi NA, Ashraf H, Ansari NB, Iftikhar S. Self-medication among people visiting outpatient clinics of a Tertiary care hospital, Karachi. J Family Med Prim Care [Internet]. 2021 Feb [citado 2024 Sep 12]; 10(2):773-779. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1887_20
20.Alavi-Namvar M, Mansori K, Gerayeli M. Self-Medication for oral health problems in COVID-19 outbreak: Prevalence and associated factors. Odovtos [Internet]. 2022 [cited 2024 Sep 12]; 24(3): 191-199. DOI: http://dx.doi.org/10.15517/ijds.2022.50876
21.Ioannidou E, Geurs N, Lipman R, Araujo MWB, Elkareh J, Engebretson S, et al. Antibiotic prescription patterns among US general dentists and periodontists. J Am Dent Assoc [Internet]. 2022 Oct [cited 2024 Sep 12]; 153(10):979-988. DOI: https://doi.org/10.1016/j.adaj.2022.06.013
22.Widowati GAR, Sri Budayanti NN, Januraga PP, Duarsa DP. IAI CONFERENCE: Self-medication and self-treatment with short-term antibiotics in Asian countries: A literature review. Pharm Educ [Internet]. 2021 Jul. 28 [citado 2024 Sep 12]; 21(2):152-162. DOI: https://doi.org/10.46542/pe.2021.212.152162
23.Simegn W, Moges G. Antibiotics Self-Medication Practice and Associated Factors Among Residents in Dessie City, Northeast Ethiopia: Community-Based Cross-Sectional Study. Patient Prefer Adherence [Internet]. 2022 Aug 9 [citado 2024 Sep 2]; 2022(16):2159-2170. DOI: http://doi.org/10.2147/PPA.S370925
24.Pogurschi EN, Petcu CD, Mizeranschi AE, Zugravu CA, Cirnatu D, Pet I, Ghimpețeanu OM. Knowledge, Attitudes and Practices Regarding Antibiotic Use and Antibiotic Resistance: A Latent Class Analysis of a Romanian Population. Int J Environ Res Public Health [Internet]. 2022 Jun [citado 2024 Sep 12]; 19(12):7263. DOI: http://doi.org/10.3390/ijerph19127263
25.Sharmaa K, Sharmaa SK, Gaura R, Mudgal SK, Gupta P, Sharma M. Self-medication practices with antibiotics among nursing students: A cross-sectional descriptive survey at tertiary care teaching hospital in Uttarakhand. Clinical Epidemiology and Global Health [Internet]. 2020 Dic [CITADO 2024 Sep 12]; 8(4):1384-1389. DOI: https://doi.org/10.1016/j.cegh.2020.05.018
26.Kassa T, Gedif T, Andualem T, Aferu T. Antibiotics self-medication practices among health care professionals in selected public hospitals of Addis Ababa, Ethiopia. Heliyon [Internet]. 2022 Jan 23 [citado 2024 Sep 12]; 8(1):8e08825. DOI: https://doi.org/10.1016/j.heliyon.2022.e08825
27.Paudel S, Aryal B. Exploration of self-medication practice in Pokhara valley of Nepal. BMC Public Health [Internet]. 2020 May 19 [Cite 2024 Sep 12]; 20(1):714. DOI: https://doi.org/10.1186/s12889-020-08860-w
28.Ghimire P, Pant P, Khatiwada S, Ranjit W, Malla S, Pandey S. Rathish D, Wijerathne B, Bandara S. Self-medication practice in Kathmandu Metropolitan City: A cross-sectional study. SAGE Open Medicine [Internet]. 2023 Mar 23 [citado 2024 Sep 12]; 11:1–8. DOI: https://doi.org/10.1177/20503121231158966
29.Precha N, Sukmai S, Hengbaru M, Chekoh M, Laohaprapanon S, Makkaew P, et al. Knowledge, attitudes, and practices regarding antibiotic use and resistance among health science and non-health science university students in Thailand. PLoS ONE [Internet]. 2024 Jan 5 [citado 2024 Sep 12]; 19(1):e0296822. DOI: https://doi.org/10.1371/journal.pone.0296822
2. Al-Tarawneh A, Ali T, Al-Taani GM. Public Patterns and Determinants of Antibiotic Self-Medication and Antibiotic Knowledge in Southern Jordan. Antibiotics [Internet]. 2024. [citado el 11 de septiembre 2024]; 13(1):98. DOI: https://doi.org/10.3390/antibiotics13010098
3. Driscoll M. Pharmacovigilance Risks and Side Effects of Self-Medication. J Pharmacovigil [Internet]. 2022 [citado el 11 de septiembre 2024]; 10:371. DOI: https://doi.org/10.35248/2329-6887.22.10.371
4. Ayenew W, Tessema TA, Anagaw YK, et al. Prevalence and predictors of self-medication with antibiotics in Ethiopia: a systematic review and meta-analysis. Antimicrob Resist Infect Control [Internet]. 2024 Jun 9 [Citado el 11 Sep 2024]; 13(1):61. DOI: https://doi.org/10.1186/s13756-024-01417-1
5. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 [citado 22 Ene 2024]; 372(71). DOI: http://doi.org/10.1136/bmj.n71
6. Bernadette-Mazurek M, Fineout-Overholt E. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. 5th ed. Philadelphia: Wolters Kluwer [Internet]; 2023 [citado 11 Sep 2024]. Disponible en: https://books.google.com.cu/books?id=EPaBEAAAQBAJ&printsec=frontcover&hl=es&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false
7. Tshokey T, Adhikari D, Jamtsho T, Wangdi K. Assessing Knowledge, Attitudes and Practices on Antibiotics amongst University Graduates in Bhutan: A Cross-Sectional Survey. Asia J Edu Soc Stuies [Internet]. 2020 [citado 2024 Sep 12]; 10(1):35-45. DOI: https://doi.org/10.9734/ajess/2020/v10i130259
8. Ealla KKR, Kumari N, Sahu V, Veeraraghavan V, Peddapalegani P, Ramani P, Ramachandra SS. Antibiotics Knowledge, Usage, and Prescription Patterns Among Dental Practitioners in Hyderabad, South India. Cureus [Internet]. 2023 Nov 28 [citado 2024 Sep 12]; 15(11):e49554. DOI: https://doi.org/10.7759/cureus.49554
9. Roy N, Islam MN, Shahjalal M, Siddiky A, Imran SM, Aktarujjaman M, Hossain MM, Rogers BT, Biswas KK, Hossain E. Self-Medication Practices among Adult Population in Bangladesh: A Cross-Sectional Study. Epidemiologia (Basel) [Internet]. 2024 Apr 1 [citado 2024 Sep 12]; 5(2):146-159. DOI: https://doi.org/10.3390/epidemiologia5020010
10.Nusrat N, Zenis B, Shoma M, Sunil K. Trends in Practices of Self-Medication with Antibiotics among Medical Undergraduates in India. J Pharm Bioallied Sci [Internet]. 2022 May 19 [citado 2024 Sep 12]; 14(1):19-24. DOI: https://doi.org/10.4103/jpbs.jpbs_17_21
11.Kotwani A, Joshi J, Lamkang AS, Sharma A, Kaloni D. Knowledge and behavior of consumers towards the non-prescription purchase of antibiotics: an insight from a qualitative study from New Delhi, India. Pharm Pract (Granada) [Internet]. 2021 [citado 2024 Sep 12]; 19(1):2206. DOI: https://doi.org/10.18549/pharmpract.2021.1.2206
12.Niadawe Issaka I. Self-medication with antibiotics and knowledge about antibiotic resistance among nursing practitioners at a tertiary hospital in Northern Ghana: a cross-sectional survey study. Research Square. [Internet]. 2021 Jun 28 [cited 2024 Sep 12]: 1-27. DOI: https://orcid.org/0000-0002-2774-0629
13.Vida Christanti J, Prayitno Setiadi A, Irawati Wibowo Y, Presley B, Halim SV, Setiawan E, Sunderland B. A cross-sectional assessment of Indonesian female health cadres’ knowledge and attitude towards antibiotics. J Infect Dev Ctries [Internet]. 2021 Oct 31 [cite 2024 Sep 12]; 15(10):1453-1461. DOI: https://doi.org/10.3855/jidc.14325
14.Win PS, Win T, Soe PP. Self-medication with antibiotics among youths from Myanmar. Int J Commun Med Public Health [Internet]. 2021 Mar [citado 2024 Sep 12]; 8(3):1047-51. DOI: https://doi.org/10.18203/2394-6040.ijcmph20210780
15.Tadesse YB, Kassaw AT, Belachew EA. Evaluating self-medication practices in Ethiopia. J Pharm Policy and Pract [Internet]. 2023 Mar 21 [citado 2024 Sep 12]; 16(1):47. DOI: https://doi.org/10.1186/s40545-023-00553-0
16.Belamarić G, Bukumirić Z, Vuković M, Spaho RS, Marković M, Marković G, et all. Knowledge, attitudes, and practices regarding antibiotic use among the population of the Republic of Serbia – A cross-sectional study. J Infect Public Health [Internet]. 2023 Dec [citado 2024 Sep. 12]; 16(suppl 1):111-118. DOI: https://doi.org/10.1016/j.jiph.2023.11.009
17.Tshokey T, Adhikari D, Jamtsho T, Wangdi K. Assessing Knowledge, Attitudes and Practices on Antibiotics amongst University Graduates in Bhutan: A Cross-Sectional Survey. Asia Pac J Public Health [Internet]. 2020 [citado 2024 Sep 12]; 10(1):35-45. DOI: https://doi.org/10.9734/ajess/2020/v10i130259
18.Nusrat N, Zenis B, Shoma M, Sunil K. Trends in Practices of Self-Medication with Antibiotics among Medical Undergraduates in India. J Pharm Bioallied Sci [Internet]. 2022 May 19 [citado 2024 Sep 12]; 14(1):19-24. DOI: https://doi.org/10.4103/jpbs.jpbs_17_21
19.Dhedhi NA, Ashraf H, Ansari NB, Iftikhar S. Self-medication among people visiting outpatient clinics of a Tertiary care hospital, Karachi. J Family Med Prim Care [Internet]. 2021 Feb [citado 2024 Sep 12]; 10(2):773-779. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1887_20
20.Alavi-Namvar M, Mansori K, Gerayeli M. Self-Medication for oral health problems in COVID-19 outbreak: Prevalence and associated factors. Odovtos [Internet]. 2022 [cited 2024 Sep 12]; 24(3): 191-199. DOI: http://dx.doi.org/10.15517/ijds.2022.50876
21.Ioannidou E, Geurs N, Lipman R, Araujo MWB, Elkareh J, Engebretson S, et al. Antibiotic prescription patterns among US general dentists and periodontists. J Am Dent Assoc [Internet]. 2022 Oct [cited 2024 Sep 12]; 153(10):979-988. DOI: https://doi.org/10.1016/j.adaj.2022.06.013
22.Widowati GAR, Sri Budayanti NN, Januraga PP, Duarsa DP. IAI CONFERENCE: Self-medication and self-treatment with short-term antibiotics in Asian countries: A literature review. Pharm Educ [Internet]. 2021 Jul. 28 [citado 2024 Sep 12]; 21(2):152-162. DOI: https://doi.org/10.46542/pe.2021.212.152162
23.Simegn W, Moges G. Antibiotics Self-Medication Practice and Associated Factors Among Residents in Dessie City, Northeast Ethiopia: Community-Based Cross-Sectional Study. Patient Prefer Adherence [Internet]. 2022 Aug 9 [citado 2024 Sep 2]; 2022(16):2159-2170. DOI: http://doi.org/10.2147/PPA.S370925
24.Pogurschi EN, Petcu CD, Mizeranschi AE, Zugravu CA, Cirnatu D, Pet I, Ghimpețeanu OM. Knowledge, Attitudes and Practices Regarding Antibiotic Use and Antibiotic Resistance: A Latent Class Analysis of a Romanian Population. Int J Environ Res Public Health [Internet]. 2022 Jun [citado 2024 Sep 12]; 19(12):7263. DOI: http://doi.org/10.3390/ijerph19127263
25.Sharmaa K, Sharmaa SK, Gaura R, Mudgal SK, Gupta P, Sharma M. Self-medication practices with antibiotics among nursing students: A cross-sectional descriptive survey at tertiary care teaching hospital in Uttarakhand. Clinical Epidemiology and Global Health [Internet]. 2020 Dic [CITADO 2024 Sep 12]; 8(4):1384-1389. DOI: https://doi.org/10.1016/j.cegh.2020.05.018
26.Kassa T, Gedif T, Andualem T, Aferu T. Antibiotics self-medication practices among health care professionals in selected public hospitals of Addis Ababa, Ethiopia. Heliyon [Internet]. 2022 Jan 23 [citado 2024 Sep 12]; 8(1):8e08825. DOI: https://doi.org/10.1016/j.heliyon.2022.e08825
27.Paudel S, Aryal B. Exploration of self-medication practice in Pokhara valley of Nepal. BMC Public Health [Internet]. 2020 May 19 [Cite 2024 Sep 12]; 20(1):714. DOI: https://doi.org/10.1186/s12889-020-08860-w
28.Ghimire P, Pant P, Khatiwada S, Ranjit W, Malla S, Pandey S. Rathish D, Wijerathne B, Bandara S. Self-medication practice in Kathmandu Metropolitan City: A cross-sectional study. SAGE Open Medicine [Internet]. 2023 Mar 23 [citado 2024 Sep 12]; 11:1–8. DOI: https://doi.org/10.1177/20503121231158966
29.Precha N, Sukmai S, Hengbaru M, Chekoh M, Laohaprapanon S, Makkaew P, et al. Knowledge, attitudes, and practices regarding antibiotic use and resistance among health science and non-health science university students in Thailand. PLoS ONE [Internet]. 2024 Jan 5 [citado 2024 Sep 12]; 19(1):e0296822. DOI: https://doi.org/10.1371/journal.pone.0296822
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2024-11-23
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Imbaquingo Andrade RJ, Revelo Triviño OA, Morillo Cano JR. Automedicação em profissionais de enfermagem: uma revisão sistemática. Rev Inf Cient [Internet]. 23º de novembro de 2024 [citado 28º de abril de 2025];103(1 Sup):e4800. Disponível em: https://revinfcientifica.sld.cu/index.php/ric/article/view/4800
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