Nederlands Platform voor Farmaceutisch Onderzoek

Het Nederlands Platform voor Farmaceutisch Onderzoek (NPFO) presenteert onderzoek in de farmaceutische wetenschappen. De nadruk ligt op klinische toepassing zoals medicatieveiligheid, patiëntenzorg, formulering, analyse, farmacologie en casuïstiek.

Recent onderzoek

Alle artikelen
15 nov 2018

Effectiviteit en efficiëntie van antibioticaswitch in de ziekenhuisapotheek

  • Rubriek:
    Oorspronkelijk artikel
  • Identificatie:
    2018;3:a1684
  • Auteur(s):
    D. Mitrovic a*, S. Begari b, K. Waar c en R. de Vries d

Effectiviteit en efficiëntie van antibioticaswitch in de ziekenhuisapotheek

Efficacy and efficiency of antibiotics switch at the hospital pharmacy

OBJECTIVE

An earlier switch to oral antibiotics (AB po) can reduce inappropriate use of intravenous antibiotics (AB iv) and comes with certain benefits: decreased workload, reduced risk of complications, and decreased patient discomfort. Therefore, we examined how an earlier switch from AB iv to AB po can be executed optimally in a hospital setting.

DESIGN

Prospective, explorative intervention study.

METHODS

Besides the self-developed decision support system to detect AB iv, three intervention phases have been set up. Phase 1: pharmacist reports to the microbiologist in the Antimicrobial stewardship team (A-Team). Afterwards, the microbiologist discusses the option of switching to AB po with the treating physician. Phase 2: the pharmacist discusses the option of switching to AB po with the treating physician. Phase 3: the pharmacist only checks required data for earlier switch to AB po.

RESULTS

713 AB iv have been prescribed for 555 patients during the three phases and follow-up. For phase 1, 2 and 3 effectiveness was 39%, 48% and 50%, respectively, and pharmacist spent 3.2, 1.4 and 1.0 hours per day, respectively, on AB Switch. Phase 3 has been performed during follow-up thus achieving better effectiveness (67%) and better efficiency (0.9 hours per day).

CONCLUSION

These improvements are due to trainings provided by the A-Team, improved documentation of physicians (including indication and antibiotics policy), and increased awareness to switch earlier to AB po.

08 nov 2018

Begeleiding door artsen en apothekers tijdens antidepressivagebruik: behoeften van patiënten en suggesties ter verbetering

  • Rubriek:
    Korte bijdrage
  • Identificatie:
    2018;3:a1682
  • Auteur(s):
    M. Nederlof ab, D.C. Cath cd, L.J. Stoker a, A.C.G. Egberts ae en E.R. Heerdink aef*

Begeleiding door artsen en apothekers tijdens antidepressivagebruik: behoeften van patiënten en suggesties ter verbetering

Guidance by physicians and pharmacists during antidepressant therapy: patients’ needs and suggestions for improvement

OBJECTIVE

Guidance of patients treated with antidepressants is paramount for successful therapy. The aim was to assess patients’ needs and suggestions for improvement of guidance by physicians and pharmacists during second generation antidepressant (SGA) therapy.

DESIGN

Five focus group discussions were held with a total of 34 patients using an SGA.

METHODS

The discussions were conducted flexibly and responsively using a semistructured topic list. All focus group discussions were video-recorded and transcripts were analysed using ATLAS.ti for coding, thematic and open analysis.

RESULTS

Participants stated they were in need of better guidance. They suggested improving content of information during decisional moments, patient-health care professional communication and communication in-between health care professionals, and finally, organisation of guidance. Barriers to achieving improved guidance were cited.

CONCLUSION

Content, communication and organisation of guidance are pivotal for achieving optimal guidance. Participants mentioned that their current experienced guidance had limitations and brought up solutions for improvement. A next step would be to discuss the suggested solutions with health care professionals to assess their views and to discuss the possibility for implementation. After implementation, future studies could be aimed at determination of its impact on patients’ treatment efficacy, quality of life, treatment satisfaction and healthcare costs.

06 nov 2018

Fluoropyrimidines altijd op basis van DPYD-genotypering doseren

  • Rubriek:
    Referaat
  • Identificatie:
    2018;3:e1655
  • Auteur(s):
    Lonneke Timmers

Fluoropyrimidines altijd op basis van DPYD-genotypering doseren

02 nov 2018

De oudere migrant als klant in de openbare apotheek

  • Rubriek:
    Oorspronkelijk artikel
  • Identificatie:
    2018;3:a1681
  • Auteur(s):
    Bas Steunenberg *

De oudere migrant als klant in de openbare apotheek

The elderly migrant as customer at the pharmacy

BACKGROUND

Non-Western older immigrants experience poorer health outcomes than their Western counterparts, potentially due to limited access to health care services. A majority of the non-Western older immigrants has language problems and low health skills. As a consequence, they experience problems in their medication adherence and compliance.

OBJECTIVE

We tried to get more insight in how the older Moroccan-Dutch migrants and their next of kin at the pharmacy value their medication, how they adhere to medication and safe medication use.

DESIGN and METHODS

Semi-structured interviews were conducted with 20 older Moroccan-Dutch migrants (55 years or older, using five or more prescribed medicines) and 20 next of kin who support an older migrant for medication intake. Interviews were analysed using a qualitative research methodology. To reach the older migrants we deployed a so-called ethnic community health worker (CHW) at the pharmacy. She speaks the same language as the older migrants and has knowledge of the barriers they experience in medication adherence.

RESULTS

The older migrants could name the chronic disease for which they use medication. It seems hard for them to adhere to a medication intake regime due to daily hassles. When asking for more concrete knowledge about medication compliance skills, this topic seems to be a taboo and the older migrants fall silent. The older migrants and their next of kin agree that assistance for adherence to medication is necessary. The next of kin feel responsibility for this issue.

CONCLUSION

More attention to a firm relationship with the older migrants in the pharmacy is needed to talk about the problems they experience with medication adherence. Next to this, more attention should be paid to support their next of kin.

Eigen platform voor NPFO

Het Nederlands Platform voor Farmaceutisch Onderzoek (NPFO) publiceert wetenschappelijke artikelen voortaan op een online open access platform met een vernieuwde vormgeving.

Indienen artikel

Het NPFO nodigt u uit om uw artikel in te sturen voor publicatie op dit platform. Dubbelpublicatie is acceptabel. De Redactieraad beoordeelt of uw artikel voor publicatie in aanmerking komt.

Richtlijnen voor auteurs

Bijdragen voor het NPFO moeten in het Nederlands geschreven zijn, met een abstract in de Engelse taal. Geef bij de inzending duidelijk aan om wat voor soort bijdrage het gaat.