Data processing of the Brazilian National System of Controlled Product Management for drug utilization research with antimicrobials

被引:0
|
作者
Ferreira, Tatiana de Jesus Nascimento [1 ,3 ]
Morais, Joao Henrique de Araujo [1 ]
Caetano, Rosangela [2 ]
Osorio-de-Castro, Claudia Garcia Serpa [1 ]
机构
[1] Fundacao Oswaldo Cruz, Escola Nacl Saude Publ Sergio Arouca, Rio De Janeiro, Brazil
[2] Univ Estado Rio de Janeiro, Inst Med Social, Rio De Janeiro, Brazil
[3] Fundacao Oswaldo Cruz, Escola Nacl Saude Publ Sergio Arouca, Dept Polit Medicamentos & Assistencia Farmaceut, Rua Leopoldo Bulhoes 1480, BR-21041210 Rio De Janeiro, RJ, Brazil
来源
CADERNOS DE SAUDE PUBLICA | 2023年 / 39卷 / 05期
关键词
Drug Utilization; Anti-bacterial Agents; Pharmacoepidemiology; Health Information Systems; Data Accuracy;
D O I
10.1590/0102-311XPT173922
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The Brazilian National System of Controlled Product Management (SNGPC) stores data on the dispensing of manufactured and compounded drugs and pharmaceutical inputs, whether con-trolled and antimicrobial, based on the records of private pharmacies and drugstores. This study assessed the quality of SNGPC data from the dispensing records of manufactured antibiotics, aiming to propose their use in drug utilization researchs (DURs), with a descriptive and retro-spective design, analyzing the raw dataset of the SNGPC from January 2014 to December 2020. A total of 475,805,207 drug-dispensing records were collected. On average, antibiotics corresponded to 54.5% of the total records. The quality dimen-sion "unreported" was systematically identified in the variables "active ingredient," "sex," "age" and "ICD-10". The amount of vials/bottles and pack-ages ranged from one to 536 units and the amount of pharmaceutical inputs dispensed, from one to 7,500 units. Results show that 25% of the records exceed an individual therapy and the SNGPC has no critical mechanism to avoid dispensations out-side the therapeutic standard for the class. Despite vulnerabilities due to data quality, which can be overcome, the SNGPC allows for the construction of different analytical plans, involving time and other aggregations, in the analysis of community use of antimicrobials and controlled drugs, which makes it a powerful source of data for DUR.
引用
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页数:17
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