Prevalence and clinical significance of interactions drug-enteral nutrition in Intensive Care Units
Open accessAbstract
Estudo multicêntrico, transversal e retrospectivo, que objetivou determinar a prevalência de interações fármaco-nutrição enteral (NE) em Unidades de Terapia Intensiva (UTI) de sete hospitais de ensino do Brasil, e analisar a significância clínica das mesmas. Foram coletadas informações sobre medicamentos e NE administrados com 24 horas e 120 horas de internação. Para identificação das interações fármaco-NE empregou-se o software Drug Reax®. Foram investigados 1.124 prontuários. Destes, 320 pacientes, com 24 horas de internação, estavam em uso de NE, sendo que 20 (6,3%) apresentaram interação fármaco-NE. Dos 504 pacientes, com 120 horas de internação, 39 (7,7%) apresentaram interação fármaco-NE. As potenciais interações fármaco-NE mais frequentes foram: fenitoína-NE, levotiroxina-NE e varfarina-NE. As interações fármaco-NE podem interferir na qualidade e no custo da assistência prestada em UTI e, desta forma, é essencial que a equipe de saúde tenha conhecimento sobre as mesmas.
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In 320 ICU patients, the most frequent clinically significant drug-enteral nutrition interactions concerned phenytoin, warfarin and L-T4.
“In 320 ICU patients, the most frequent clinically significant drug–enteral nutrition interactions concerned phenytoin, warfarin and L-T4 (97).”
From L-T4 therapy in the presence of pharmacological interferents (2020) · cites this paper as [97]
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“December 2020 | Volume 11 | Article 607446 mU/L (+73%), but when all women took calcium 6–8 h after LT4, all had TSH 4.12 mU/L (2.16 ± 0.54 mU/L) (44).”
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- Authors
- Reis, A. M. M., Carvalho, R. E. F. L. D., Faria, L. M. P. D., Oliveira, R. C. D., Zago, K. S. D. A., Cavelagna, M. F., Silva, A. G., Luis Neto, M., & Cassiani, S. H. D. B.
- Affiliations
- Universidade Federal de Minas Gerais (BR)
- Universidade Estadual do Ceará (BR)
- Universidade de Pernambuco (BR)
- Universidade Federal de Uberlândia (BR)
- Universidade de São Paulo (BR)
- Universidade Federal de São Paulo (BR)
- ORCID
- Venue
- Revista Brasileira de Enfermagem
- Publisher
- GN1 Genesis Network
- Published
- 2014
- Volume
- 67
- Issue
- 1
- Pages
- 85-90
- ISSN
- 0034-7167 (ISSN-L)
- OpenAlex
- W2062999591
- Cited by
- 10
- References
- 15
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- Revista Brasileira de Enfermagem (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Keywords
- enteral nutrition, intensive care unit, drug-drug interactions, phenytoin, warfarin, levothyroxine, prevalence, clinical significance, critically ill patients
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Enteral Nutrition, Female, Humans, Intensive Care Units, Male, Middle Aged, Retrospective Studies, Food-Drug Interactions, Young Adult
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