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Usability of APIMedOlder: A Web Application to Manage Potentially Inappropriate...

A. Rodrigues, Daniela; I. Plácido, Ana; Mateos-Campos, Ramona; Figueiras, Adolfo; Herdeiro, Maria Teresa; Roque, Fátima

Introduction: Considering the increase in the proportion of the older population worldwide, the demand for health system resources also arises. These tools optimize clinical decision-making, thus avoiding iatrogenesis and thus contributing to a better quality of life for the older population. In response, we created an online web application, the APIMedOlder, that provides access to healthcare professionals to ...

Date: 2024   |   Origin: Acta Médica Portuguesa

Antibiotic Dispensation without a Prescription Worldwide: A Systematic Review

Batista, Ana Daniela; Rodrigues, Daniela A; Figueiras, Adolfo; Zapata-Cachafeiro, Maruxa; Roque, Fátima; Herdeiro, Maria Teresa

Antibiotic resistance still remains a major global public health problem and the dispensing of antibiotics without a prescription at community pharmacies is an important driver of this. MEDLINE, Pubmed and EMBASE databases were used to search and identify studies reporting the dispensing of non-prescribed antibiotics in community pharmacies or drugstores that sell drugs for human use, by applying pharmacy inter...


Understanding Primary Care Physician Vaccination Behaviour: A Systematic Review.

Prieto-Campo, Ángela; García-Álvarez, Rosa María; López-Durán, Ana; Roque, Fátima; Maria Teresa, Herdeiro; Figueiras, Adolfo; Zapata-Cachafeiro, Maruxa

Background: Vaccine hesitancy decreases adult vaccination coverage and has been recognized by WHO as a major health threat. Primary care physicians (PCP) play a key role in vaccination by giving vaccine counselling to their patients. The aim of this systematic review is to identify the knowledge, beliefs, attitudes and barriers (KBAB) associated with own vaccination and patient recommendation in primary care ph...


E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review

Carvalho, Érico; Estrela, Marta; Zapata-Cachafeiro, Maruxa; Figueiras, Adolfo; Roque, Fátima; Maria Teresa, Herdeiro

Background: e-Health tools, especially in the form of clinical decision support systems (CDSSs), have been emerging more quickly than ever before. The main objective of this systematic review is to assess the influence of these tools on antibiotic use for respiratory tract infections. (2) Methods: The scientific databases, MEDLINE-PubMed and EMBASE, were searched. The search was conducted by two independent res...


Effectiveness of Interventions to Reduce Potentially Inappropriate Medication i...

Rodrigues, Daniela A; Plácido, Ana L; Mateos-Campos, Ramona; Figueiras, Adolfo; Herdeiro, Maria Teresa; Roque, Fátima

Background: Age-related multiple comorbidities cause older adults to be prone to the use of potentially inappropriate medicines (PIM) resulting in an increased risk of adverse events. Several strategies have emerged to support PIM prescription, and a huge number of interventions to reduce PIM have been proposed. This work aims to analyze the effectiveness of PIM interventions directed to older adults. Methods: ...


Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescript...

Oliveira, Inês; Rego, Catarina; Semedo, Guilherme; Gomes, Daniel; Roque, Fátima; Figueiras, Adolfo; Herdeiro, Maria

Overuse and inappropriate antibiotic prescription for respiratory tract infections (RTI) are one of the major contributors to the current antibiotic resistance problem. Guidelines provide support to prescribers for proper decision-making. Our purpose is to review the impact of prescribers' exposure to guidelines in antibiotic prescription for RTIs. A systematic review was performed searching in the scientific d...


Educational Interventions to Reduce Prescription and Dispensing of Antibiotics ...

Rocha, Vânia; Estrela, Marta; Neto, Vanessa; Roque, Fátima; Figueiras, Adolfo; Herdeiro, Maria

Antibiotic resistance remains a crucial global public health problem with excessive and inappropriate antibiotic use representing an important driver of this issue. Strategies to improve antibiotic prescription and dispensing are required in primary health care settings. The main purpose of this review is to identify and synthesize available evidence on the economic impact of educational interventions to reduce...


Impact of infectious disease epidemics on xenophobia: A systematic review

Silva, Tânia; Cade, Maria; Figueiras, Adolfo; Roque, Fátima; Herdeiro, Maria; Devakumar, Delan

Background Globally, xenophobia towards out-groups is frequently increased in times of economic and political instability, such as in infectious disease outbreaks. This systematic review aims to: (1) assess the xenophobic attitudes and behaviors towards migrants during disease outbreaks; and (2) identify adverse health outcomes linked to xenophobia. Methods We searched nine scientific databases to identify stud...


What determines health professionals COVID-19 vaccine hesitancy? A nationwide s...

Estrela, Marta; Silva, Tânia M; Roque, Vítor; Gomes, Eva Rebelo; Roque, Fátima; Herdeiro, Maria Teresa; Figueiras, Adolfo

Introduction: To contain the COVID-19 pandemic, higher vaccination rates are essential. However, as vaccine hesitancy is a reality, it is important to understand what drives health professionals to refuse getting vaccinated against COVID-19, who have been in the frontline of this pandemic since its beginning and may be key actors to improve vaccine coverage among their patients. Purpose: This study aims to asse...


A roadmap for the development and evaluation of the eHealthResp online course

Estrela, Marta; Silva, Tânia; Almeida, Ana; Regueira, Carlos; Zapata-Cachafeiro, Maruxa; Figueiras, Adolfo; Roque, Fátima; Herdeiro, Maria

Background: Inappropriate antibiotic use constitutes one of the most concerning public health issues, being one of the main causes of antibiotic resistance. Hence, to tackle this issue, it is important to encourage the development of educational interventions for health practitioners, namely by using digital health tools. This study focuses on the description of the development and validation process of the eHe...


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