Debbie Rigby takes a look at the latest in research news
The American Geriatrics Society (AGS) has released the 2019 update to the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. New additions include avoiding macrolides (except azithromycin) or ciprofloxacin with warfarin owing to bleeding risk, and use rivaroxaban with caution for venous thromboembolism or atrial fibrillation in patients older than 75 years because of the risk for gastrointestinal bleeding. Use of trimethoprim-sulfamethoxazole is associated with worsening renal failure and hyperkalemia.
An Australian study of patients and carers of children with asthma reveals cost, side-effects, perceived benefit and patient behaviours impact on adherence to preventer medicines. The researchers conclude patients and healthcare professionals need education around the efficacy of ICS-alone treatment and the rationale behind co-payments, for initiatives around quality use of medicines to succeed.
Australian and New Zealand Journal of Public Health. 2019
Pharmacists can play an important role in the ongoing management of people with gout, by supporting adherence to non-pharmacological and pharmacological strategies to reduce the risk of acute attacks and avoid preventable medication-related harm. The major challenge for urate-lowering therapy is maintaining adherence and persistence with therapy. The move towards ‘treat to target’ serum urate concentrations has emerged in the past decade and has shown that most people can achieve target concentrations by allopurinol dose adjustments.
Journal of Pharmacy Practice and Research 2019;49:90–97.
This study assesses Australian community pharmacy staff’s (pharmacists and pharmacy assistants) ability to recognize and manage common oral health presentations using case vignettes, and determine whether appropriate identification and management are associated with self‐reported confidence. Provision of best practice or evidence‐based recommendations were reported in up to 28%, 19%, 57% and 31% of pharmacy staff offering appropriate advice and guidance for pulpitis, gingivitis, a non‐healing mouth ulcer and oral health promotion messages, respectively.
Community Dentistry and Oral Epidemiology, first published 8 February 2019.