Profile of clinical pharmacy services in hematopoietic stem cell transplantation centers in Brazil

Abstract

Objective: To describe the profile of the clinical pharmacist’s performance in public and private hospitals that perform hematopoietic stem cell transplantation in Brazil. Methods: This is a sectional study and the work was carried out in two stages. In the first one, a data survey was carried out based on the documental analysis of the websites of scientific societies and the DataSUS database. In the second stage, a questionnaire about the role of pharmacists was requested to be filled out by the Centers registered with societies related to bone marrow transplantation. Data was collected using Google Forms® and organized in an Excel® spreadsheet. Results: 73 centers were identified, none in the North and 44 in the Southeast. From the centers, 27 (43.5%) answered the questionnaire. Only 7.4% reported that they do not have a pharmacist on staff. Among the remaining, 7.4% reported having a pharmacist working only at the clinical area, 11.1% only at medication management and logistics, and the most (81.5%), at both areas. The distribution of Clinical services provided by pharmacists contemplated: prescription analysis (92.6%); medication conciliation (77.7%); participation in the discussion of cases/rounds or clinical sessions (77.7%); pharmacotherapeutic follow-up (66.6%); pharmacotherapy review (59.2%); hospital discharge guidance (55,5%); monitoring of therapy and plasma dosage of medications (51.8%); outpatient care (44.4%) and health education (3.7%). Conclusion: Bone marrow transplant centers in Brazil are not properly distributed. Most respondent centers have a pharmacist developing management and clinical activities. The participation of the pharmacist in the team aims, through the services, to promote the rational use of medicines.