Nível de conhecimento dos cirurgiões-dentistas de São José dos Campos sobre o uso de anti-inflamatórios não esteróides
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Data
2010-06-01
Autores
Carvalho, Valéria Abrantes Pinheiro [UNESP]
Borgatto, Adriano Ferreti
Lopes, Luciane Cruz
Título da Revista
ISSN da Revista
Título de Volume
Editor
Associação Brasileira de Saúde Coletiva (ABRASCO)
Resumo
A prescrição abusiva de medicamentos na odontologia constitui um desafio aos programas de saúde pública que visam corrigir a prescrição inadequada de fármacos. Os anti-inflamatórios não esteróides (AINE) podem alteram a eficácia dos anti-hipertensivos, elevando a pressão arterial, sobretudo em pacientes idosos e/ou com hipertensão arterial sistêmica (HAS). O objetivo foi avaliar o nível de conhecimentos dos cirurgiões-dentistas (CD) da rede pública da saúde da Prefeitura Municipal de São José dos Campos (PMSJC) sobre a prescrição de AINE a pacientes com HAS. Trata-se de estudo descritivo, realizado por meio de questionário aplicado aos 92 CD da PMSJC. Os resultados foram analisados estatisticamente utilizando-se os testes de Wald e de Fisher. A associação entre as variáveis foi estudada por meio da razão de chances (OR) com p-valor<0,05. Os resultados mostraram que o nível de conhecimento para a prescrição de AINE para pacientes com HAS foi insuficiente e as interações medicamentosas entre AINE e anti-hipertensivos são desconhecidas pela quase totalidade da amostra. Concluiu-se que os cursos de atualização em odontologia não estão suprindo as necessidades dos CD no âmbito da farmacoterapia.
The abusive use of drugs in clinical routine of dentistry represents a problem of public health. Studies have demonstrated that the effectiveness of anti-hypertensive drugs was decreased by the simultaneous use of Nonsteroidal Anti-Inflammatory Drugs (NAIDs), mainly in elderly patients with primary hypertension. This study was to evaluate the scientific knowledge of the dentists working at the public health service in São José dos Campos, São Paulo, Brazil. This research characterized the scientific upgrade of the dentists concerning the prescription of NAIDs to hypertensive patients. The methods included a questionnaire filled up by the 92 dentists of the public health service in São José dos Campos. The results were statistically analyzed by the Wald and Fisher Tests to evaluate the probability of statistical associations between the studied issues (p-value<0.05). The results showed that the professional knowledge for prescription of NAIDs for hypertensive patients was insufficient. The pharmacological interactions between NAIDs and anti-hypertensive drugs were almost totally unknown. The conclusion was that the update courses in dentistry skills do not offer enough knowledge for pharmacological practices in dentistry.
The abusive use of drugs in clinical routine of dentistry represents a problem of public health. Studies have demonstrated that the effectiveness of anti-hypertensive drugs was decreased by the simultaneous use of Nonsteroidal Anti-Inflammatory Drugs (NAIDs), mainly in elderly patients with primary hypertension. This study was to evaluate the scientific knowledge of the dentists working at the public health service in São José dos Campos, São Paulo, Brazil. This research characterized the scientific upgrade of the dentists concerning the prescription of NAIDs to hypertensive patients. The methods included a questionnaire filled up by the 92 dentists of the public health service in São José dos Campos. The results were statistically analyzed by the Wald and Fisher Tests to evaluate the probability of statistical associations between the studied issues (p-value<0.05). The results showed that the professional knowledge for prescription of NAIDs for hypertensive patients was insufficient. The pharmacological interactions between NAIDs and anti-hypertensive drugs were almost totally unknown. The conclusion was that the update courses in dentistry skills do not offer enough knowledge for pharmacological practices in dentistry.
Descrição
Palavras-chave
Anti-inflamatórios não esteróides, Nível de conhecimento, Terapêutica, Hipertensão arterial, Odontologia, Anti-inflammatory drugs, Scientific knowledge, Pharmacological practices, Hypertension, Dentistry
Como citar
Ciência & Saúde Coletiva. ABRASCO - Associação Brasileira de Saúde Coletiva, v. 15, p. 1773-1782, 2010.