科研之友
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摘要
Objective: To analyze whether pharmacies in public health service hospitals in the Spanish autonomous community of the Balearic Islands are stocking sufficient amounts of poison antidotes.
Methods: Descriptive cross-sectional study of public hospital pharmacy stocks of antidotes and other medicines for treating acute poisoning. The head of each hospital pharmacy completed a questionnaire about stocks. The results on which antidotes were in stock, the amounts, and the storage locations were assessed for compliance with recommended quality indicators for emergency care in acute poisonings (CALITOX-2006) and the Antidote Stocking Guidelines (ASG-2009).
Results: The 7 hospitals met the CALITOX-2006 availability criteria for over 85% of items and the ASG-2009 criteria for 68%. Inadequate stocking mainly involved sodium sulfate, apomorphine, oral cyanide antidote kits, and crotaline snake antivenonn. An average of 83% of the stocks were adequate; pyridoxine was the substance most often found to be understocked. Activated charcoal and N-acetylcysteine were the items most often overstocked. Glucagon and fomepizole were understocked in the referral hospital. Over 80% of items were stored in appropriate locations in the emergency departments of level 1 hospitals (68% in level 2 hospitals; 94% in the referral hospital).
Conclusions: Public health system hospitals are highly compliant with recommendations on stocking antidotes and other medicines to treat acute poisoning (what to stock, where, and in what amounts); the distribution of stocks safely guarantees they will be available when needed. Among level 2 hospitals, a facility's location (proximity to the best-equipped referral hospital for poisonings) had greater influence on compliance than the hospital's level of complexity.
- 出版日期2014-10
