{"id":18162,"date":"2015-12-16T15:17:31","date_gmt":"2015-12-16T14:17:31","guid":{"rendered":"http:\/\/blog.cofb.cat\/?p=18162"},"modified":"2015-12-16T15:17:31","modified_gmt":"2015-12-16T14:17:31","slug":"paper-de-la-farmacia-comunitaria-en-la-prevencio-i-control-de-lmpoc","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/es\/2015\/12\/16\/paper-de-la-farmacia-comunitaria-en-la-prevencio-i-control-de-lmpoc\/","title":{"rendered":"Papel de la farmacia comunitaria en la prevenci\u00f3n y control de la EPOC"},"content":{"rendered":"

El Plan interdepartamental de atenci\u00f3n y el Programa de prevenci\u00f3n y atenci\u00f3n a la Interacci\u00f3n social y sanitaria cronicidad del Departamento de Salud de la Generalidad de Catalu\u00f1a organizaron el 10 de diciembre la \u201cJornada de debate 2.0: modelo integrado en la atenci\u00f3n de las personas con EPOC en Catalu\u00f1a\u201d<\/b> con el objetivo de reflexionar sobre la multiplicidad de agentes implicados en el cuidado de la enfermedad pulmonar obstructiva cr\u00f3nica (EPOC) y el valor que cada uno aporta. La jornada tambi\u00e9n quer\u00eda enfatizar la necesidad de aplicar buenas pr\u00e1cticas colaborativas para el \u00f3ptimo abordaje de la enfermedad y aportar elementos cr\u00edticos de \u00e9xito para la atenci\u00f3n integrada de la EPOC en contextos de complejidad.<\/p>\n

\"Foto-EPOC2.0-1\"<\/a>
El doctor Felip Burgos durante su intervenci\u00f3n en la jornada<\/figcaption><\/figure>\n

El doctor<\/strong> Felipe Burgos<\/b>, enfermero del Centro Diagn\u00f3stico Respiratorio (ICR) del Hospital Cl\u00ednic de Barcelona y miembro del grupo de investigaci\u00f3n del estudio FarmaEPOC, present\u00f3 en la ponencia \u201cPapel de la farmacia comunitaria en la prevenci\u00f3n y control de la EPOC\u201d la experiencia y los resultados de este proyecto de cribado oportunista de la EPOC en las farmacias comunitarias.<\/p>\n

Burgos hizo una introducci\u00f3n de la epidemiolog\u00eda de la EPOC, destacando la alta prevalencia, mortalidad y morbilidad, as\u00ed como su alto coste econ\u00f3mico. Seguidamente, describi\u00f3 el grave problema que representa su infradiagn\u00f3stico -de m\u00e1s del 70% en toda Espa\u00f1a- con mayor incidencia en las mujeres (86%), seg\u00fan los \u00faltimos datos (referencia: Underdiagnosis of chronic obstructive pulmonary disease in women: cuantification of the problem, determinants and proposed actions<\/a>, v\u00eda Pubmed).<\/p>\n

La espirometr\u00eda es el instrumento fundamental en el diagn\u00f3stico de la EPOC aunque se encuentra infrautilizada (referencia: Screening for and early detection of chronic obstructive pulmonary disease<\/a>, v\u00eda PubMed). <\/b>"Para mejorar el diagn\u00f3stico debemos implicar a todos los agentes sanitarios y la farmacia comunitaria es una pieza fundamental: realiza una gran labor en el campo de la prevenci\u00f3n de las enfermedades y en el seguimiento de pacientes cr\u00f3nicos" explica Burgos, y a\u00f1ade: \u201cla deshabituaci\u00f3n tab\u00e1quica es el mejor tratamiento por la EPOC y existe evidencia cient\u00edfica que avala la incorporaci\u00f3n e integraci\u00f3n de las farmacias en los programas de deshabituaci\u00f3n, en cooperaci\u00f3n con los centros de atenci\u00f3n primaria y de atenci\u00f3n hospitalaria<\/b>\u201d.<\/p>\n

Actualmente la farmacia comunitaria ya participa con \u00e9xito en programas de detecci\u00f3n precoz de enfermedades como es el caso del c\u00e1ncer colorrectal<\/a> o elVIH<\/a>. En el estudio pionero FarmaEPOC (m\u00e1s informaci\u00f3n en el art\u00edculo Airflow obstruction case finding in community-pharmacies: en novela strategy to reducce COPD underdiagnosis<\/a>, v\u00eda PubMed), una iniciativa del Colegio de Farmac\u00e9uticos de Barcelona y la Sociedad Espa\u00f1ola de Neumolog\u00eda y Cirug\u00eda Tor\u00e1cica (SEPAR), se demostr\u00f3 que los farmac\u00e9uticos est\u00e1n en contacto con sujetos de riesgo de sufrir la EPOC<\/b> -en general son adultos de mediana edad, no estudiados- y tambi\u00e9n que la farmacia comunitaria es un buen sistema para hacer la selecci\u00f3n y estudiar a los pacientes utilizando un cuestionario y realizando una espirometr\u00eda de calidad, si se utilizan las tecnolog\u00edas de la informaci\u00f3n y comunicaci\u00f3n (TIC).<\/p>\n

En su intervenci\u00f3n en la jornada, Burgos tambi\u00e9n destac\u00f3 el potencial que tiene la farmacia comunitaria en el seguimiento de enfermos respiratorios cr\u00f3nicos<\/b>, puesto que se trata de un servicio que est\u00e1 muy estudiado en la bibliograf\u00eda cient\u00edfica (referencia v\u00eda PubMed: El rol de comunidades farmac\u00e9uticas en screening and subsequent management of chronic respiratory diseases: en systematic review<\/a> y Fesibilidad y efectividad de la evidencia-based asma servicio en Australian community farmacias: en pragm\u00e1tico cluster randomized trial<\/a>) sobre todo en dos de las enfermedades cr\u00f3nicas m\u00e1s prevalentes, el asma y la EPOC. En cuanto a esta \u00faltima, se ha demostrado que la farmacia comunitaria puede incidir con la adherencia al tratamiento, la t\u00e9cnica inhalatoria, la vacunaci\u00f3n antigripal y la deshabituaci\u00f3n tab\u00e1quica<\/b>. En la presentaci\u00f3n se consider\u00f3 la necesidad de mejorar los v\u00ednculos entre la farmacia comunitaria y la atenci\u00f3n primaria y se incidi\u00f3 en el papel de la farmacia en el tratamiento de la EPOC: puede ser un elemento de valor en el manejo ambulatorio de las enfermedades respiratorias cr\u00f3nicas y en la lucha contra su infradiagn\u00f3stico<\/b>. "Es necesaria la implantaci\u00f3n de programas innovadores que puedan contribuir al automanejo del asma y la EPOC incidiendo en enfermos con mal control de su enfermedad" concluye Burgos (referencia:\u00a0The Role of Community Pharmacies in Respiratory Disease Control<\/a>, v\u00eda PubMed).<\/p>\n

 <\/p>\n

\n
\"poster-Farmaepoc\"<\/a>
P\u00f3ster informativo de las farmacias que participaron en el estudio FarmaEPOC realizando espirometr\u00edas<\/figcaption><\/figure>\n

Tu farmacia puede ayudarte a dejar de fumar
\n<\/strong>
\nEl farmac\u00e9utico es un profesional formado en el \u00e1mbito de la promoci\u00f3n de la salud y de la prevenci\u00f3n de la enfermedad, lo que le implica directamente en las intervenciones de deshabituaci\u00f3n tab\u00e1quica.<\/p>\n

Cada final de a\u00f1o las consultas para dejar de fumar se hacen notar en las farmacias. M\u00e1s all\u00e1 de productos como los sustitutivos de nicotina (parches, chicles, etc.), las farmacias de Barcelona ofrecen seguimiento a los usuarios que decidan que quieren dejarlo. Lo hacen a trav\u00e9s del Programa de Cese Tab\u00e1quica del Colegio.<\/p>\n

En nuestra web de salud, Farmaceuticonline, puede consultar el listado de farmacias que participan en este programa.<\/a><\/div><\/b><\/p>\n<\/div>\n

Quiz\u00e1s tambi\u00e9n te interesa:
\n<\/b>Publicado un art\u00edculo sobre el papel de las farmacias comunitarias en el control de las enfermedades respiratorias<\/a> (Blog)<\/p>","protected":false},"excerpt":{"rendered":"

El Plan interdepartamental de atenci\u00f3n y el Programa de prevenci\u00f3n y atenci\u00f3n a la Interacci\u00f3n social y sanitaria cronicidad del Departamento de Salud de la Generalidad de Catalu\u00f1a organizaron el 10 de diciembre la \u201cJornada de debate 2.0: modelo integrado en la atenci\u00f3n de las personas con EPOC en Catalu\u00f1a\u201d con [\u2026]<\/p>","protected":false},"author":1,"featured_media":18172,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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