在BC惩戒卫生环境中探索多药学
Lillian Lo1, Sarah Masson2, Matthew Brons3
1PharmD, ACPR, RPh, is a Clinical Pharmacist with Royal Columbian Hospital, Lower Mainland Pharmacy Services (Fraser Health Authority), New Westminster, British Columbia.
The Canadian journal of hospital pharmacy
|May 15, 2025
概括
多药在不列颠哥伦比亚省的惩戒设施中很常见,在某些地点影响超过25%的客户. 阿片类激素治疗和精神药物是最常被处方的药物,突出了对药物管理优化需求.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 监禁人员面临更高的并发病率和独特的环境因素,增加了多药制药的风险.
- 有限的研究存在于校正卫生机构内的多药学.
研究的目的:
- 确定每位在不列颠哥伦比亚省惩戒设施的客户的中位数药物使用量.
- 计算多药房的流行率,并确定最常被处方的药物类别.
- 在多药房病例中检查潜在的药物治疗问题.
主要方法:
- 在5个惩戒医疗机构进行的观察点流行研究.
- 包括在人口普查日期使用活性药物的成年客户.
- 被排除在外的客户有一次性或没有药物订单.
主要成果:
- 分析了420名客户;每位客户的中位数药物从3到5分钟不等.
- 多药房的利率在各个设施中从23%到41%不等.
- 阿片类激素治疗和精神药物是主要的计划药物;导致镇静的药物相互作用是关键问题.
结论:
- 在所有研究的设施中,多药制是普遍存在的.
- 处方药与现有文献保持一致,但也有优化机会.
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