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Publication
Caracterização de Intoxicações no Serviço de Urgência da Unidade Local de Saúde da Cova da Beira, no ano de 2019
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Authors
Abstract(s)
Este relatório foi elaborado no âmbito da Unidade Curricular de Estágio do Mestrado
Integrado em Ciências Farmacêuticas (MICF) da Universidade da Beira Interior (UBI), com
o objetivo de obtenção do grau de mestre. O documento está dividido em três capítulos: o
primeiro aborda a vertente de investigação, o segundo a experiência do estágio em Farmácia
Comunitária e o terceiro o estágio em Farmácia Hospitalar.
O Capítulo I apresenta um estudo retrospetivo sobre os perfis de intoxicação atendidos no
Serviço de Urgência (SU) da Unidade Local de Saúde da Cova da Beira (ULSCBeira), ao
longo do ano de 2019, período que antecedeu a pandemia Covid-19. No total, foram
identificados 82 indivíduos, correspondendo a 97 episódios, uma vez que alguns recorreram
ao SU mais de uma vez. Destes, 19,51% eram menores de idade e 80,49% eram adultos, com
média de idade de 41,34 ± 24,43 anos. A maior prevalência ocorreu entre 45-59 anos, com
aumento dos casos nos meses de dezembro e novembro. A via de exposição mais comum foi
a oral em todas as faixas etárias, com destaque para o consumo de bebidas alcoólicas
(46,39% em adultos e 10,31% em adolescentes dos 14 aos 17 anos). Entre crianças (4-11
anos), predominaram as intoxicações acidentais (3,09%), enquanto em adolescentes (12-17
anos), as voluntárias (12,37%) foram mais frequentes. O padrão de intoxicações voluntárias
manteve-se até aos 59 anos e em idades iguais ou superiores a 60 anos as intoxicações
acidentais (10,31%) foram predominantes. O destino mais comum foi “Exterior Não
Referenciado”, seguido por " Administração Regional de Saúde/Centro de Saúde" e "Serviço
de Internamento", dos quais apenas 21 episódios exigiram internamento, a maioria por um
dia. Os principais tratamentos foram vigilância, terapia de suporte e fluidoterapia. A taxa
de abandono em adultos foi de 12,37% e neste estudo não houve registo de óbitos associado.
O Capítulo II descreve a minha experiência durante o estágio curricular na Farmácia Grave
(FG), na cidade de Castelo Branco, realizado de 9 de setembro a 29 de novembro de 2024,
sob a orientação da Dr.ª Ana Roxo, atual diretora técnica.
O último capítulo apresenta a minha experiência durante o meu estágio curricular nos
Serviços Farmacêuticos (SF) da Unidade Local de Saúde de Castelo Branco (ULSCB). O
estágio decorreu de 9 de dezembro de 2024 a 31 de janeiro de 2025, sob a orientação da
Dr.ª Sandra Queimado, diretora dos SF.
This report was prepared within the scope of the Curricular Internship Unit of the Integrated Master’s Degree in Pharmaceutical Sciences at the University of Beira Interior, with the aim of obtaining the Master’s degree. The document is divided into three chapters: the first addresses the research component, the second describes the experience during the Community Pharmacy internship, and the third outlines the Hospital Pharmacy internship. Chapter I presents a retrospective study on poisoning profiles recorded at the Emergency Department (ED) of the Local Health Unit of Cova da Beira throughout 2019, a period prior to the Covid-19 pandemic. A total of 82 individuals were identified, corresponding to 97 episodes, as some patients presented to the ED on more than one occasion. Of these, 19.51% were minors and 80.49% were adults, with a mean age of 41.34 ± 24.43 years. The highest incidence occurred in the 45-59 age group, with a notable increase in cases in December (19.59%) and November (15.46%). The most common route of exposure across all age groups was oral, with particular emphasis on alcohol consumption (46.39% among adults and 10.31% among adolescents aged 14 to 17). Among children (4-11 years), accidental poisonings were predominant (3.09%), whereas among adolescents (12-17 years), voluntary poisonings (12.37%) were more frequent. The pattern of voluntary intoxication continued up to the age of 59, while in individuals aged 60 and above, accidental poisonings (10.31%) were more common. The most frequent discharge destination was “Unreferenced External”, followed by “Regional Health Authority/Health Centre” and “Inpatient Department”, with only 21 episodes requiring hospitalisation, most of which lasted for one day. The main treatments administered were monitoring, supportive therapy, and fluid therapy. The abandonment rate among adults was 12.37%, and no deaths were recorded in this study. Chapter II describes my experience during the curricular internship at Farmácia Grave, located in the city of Castelo Branco, which took place from 9 September to 29 November 2024, under the supervision of Dr Ana Roxo, the current Technical Director. The final chapter presents my experience during the curricular internship at the Pharmaceutical Services of the Local Health Unit of Castelo Branco. This internship took place from 9 December 2024 to 31 January 2025, under the supervision of Dr Sandra Queimado, Director of the Pharmaceutical Services.
This report was prepared within the scope of the Curricular Internship Unit of the Integrated Master’s Degree in Pharmaceutical Sciences at the University of Beira Interior, with the aim of obtaining the Master’s degree. The document is divided into three chapters: the first addresses the research component, the second describes the experience during the Community Pharmacy internship, and the third outlines the Hospital Pharmacy internship. Chapter I presents a retrospective study on poisoning profiles recorded at the Emergency Department (ED) of the Local Health Unit of Cova da Beira throughout 2019, a period prior to the Covid-19 pandemic. A total of 82 individuals were identified, corresponding to 97 episodes, as some patients presented to the ED on more than one occasion. Of these, 19.51% were minors and 80.49% were adults, with a mean age of 41.34 ± 24.43 years. The highest incidence occurred in the 45-59 age group, with a notable increase in cases in December (19.59%) and November (15.46%). The most common route of exposure across all age groups was oral, with particular emphasis on alcohol consumption (46.39% among adults and 10.31% among adolescents aged 14 to 17). Among children (4-11 years), accidental poisonings were predominant (3.09%), whereas among adolescents (12-17 years), voluntary poisonings (12.37%) were more frequent. The pattern of voluntary intoxication continued up to the age of 59, while in individuals aged 60 and above, accidental poisonings (10.31%) were more common. The most frequent discharge destination was “Unreferenced External”, followed by “Regional Health Authority/Health Centre” and “Inpatient Department”, with only 21 episodes requiring hospitalisation, most of which lasted for one day. The main treatments administered were monitoring, supportive therapy, and fluid therapy. The abandonment rate among adults was 12.37%, and no deaths were recorded in this study. Chapter II describes my experience during the curricular internship at Farmácia Grave, located in the city of Castelo Branco, which took place from 9 September to 29 November 2024, under the supervision of Dr Ana Roxo, the current Technical Director. The final chapter presents my experience during the curricular internship at the Pharmaceutical Services of the Local Health Unit of Castelo Branco. This internship took place from 9 December 2024 to 31 January 2025, under the supervision of Dr Sandra Queimado, Director of the Pharmaceutical Services.
Description
Keywords
Hospital Agentes Tóxicos Cova da Beira Farmácia Comunitária Farmácia Hospitalar Intoxicações Serviço de Urgência