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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...


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...


Voices of Polymedicated Older Patients: A Focus Group Approach

Plácido, Ana; Herdeiro, Maria; Simões, João; Amaral, Odete; Figueiras, Ana; Roque, Fátima

Polypharmacy in older adults is frequently associated with incorrect management of medicines, which causes drug-related problems and, subsequently, poor health outcomes. Understanding why older adults incorrectly manage their medicines is fundamental to health outcomes, however, it is an issue that remains poorly explored. The aim of this study is to examine older people's perceptions, attitudes, beliefs, and c...


Profile of Prescription Medication in an Internal Medicine Ward

Perpétuo, Carla; Plácido, Ana; Aperta, Jorge; Herdeiro, Maria; Roque, Fátima

Aging-related loss of resilience associated with the lack of evidence regarding the therapeutic efficacy of medicines can prompt a lack of efficacy of treatments and multiple prescriptions. This work aims to characterize the medication profile of Portuguese older adult inpatients and explore the relationship between hospitalization days and the consumption of medicines. A retrospective data analysis study in ol...


Unravelling the drivers behind COVID-19 vaccination hesitancy and refusal among...

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

This study aims to assess the determinants of the coronavirus disease 2019 (COVID-19) vaccination hesitancy and refusal (VHR) among teachers, from pre-school to higher education, through an online survey. A logistic regression analysis was used to determine the adjusted odds ratio (OR) of the independent variables (perceptions, knowledge, and attitudes) per 1-point increase in the Likert scale, and VHR. Concern...


Insights on COVID-19 Vaccination in Portugal: A Qualitative Study among Health ...

Estrela, Marta; Leitão, Catarina; Silva, Tânia; Roque, Fátima; Herdeiro, Maria

Background: Vaccination against COVID-19 has had a major impact over the course of the pandemic, leading to a reduced number of hospitalizations and deaths. However, the mass vaccination process has been accompanied by skepticism and hesitancy since its beginning. As health professionals and teachers are important public health actors who can strongly intervene to reduce vaccination hesitancy among their patien...


Perceptions, knowledge and attitudes about COVID-19 vaccine hesitancy in older ...

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

Background: Coronavirus 2019 (COVID-19) has become a public-health emergency of international concern. Most efforts to contain the spread and transmission of the virus rely on campaigns and interventions targeted to reduce Vaccine Hesitancy and Refusal (VHR). Objective: this study aims to assess the major factors associated with VHR in the older population in Portugal. Methods: a nation-wide cross-sectional stu...


Drug-related Problems in Home-dwelling Older Adults: A Systematic Review

Plácido, Ana; Herdeiro, Maria; Morgado, Manuel; Figueiras, Adolfo; Roque, Fátima

Purpose: The complex combination of medicines associated with age-related physiological alterations leads older adults to experience drug-related problems (DRPs). The goal of this study was to review the frequency and type of DRPs and DRP risk factors in home-dwelling older adults. Methods: A MEDLINE PubMed and EMBASE scientific databases search was performed. Articles published from January 2000 through Decemb...


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