Nurse empowerment through Pharmacogenetics

Objective: to verify the existence of elements that justify the use of pharmacogenetics by the Brazilian nurse. Method: this is a quantitative, cross-sectional, observational, descriptive study, whose final sample was 67 individuals. The participants were healthy at the time of the study and report...

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Main Authors: Jordana Carvalhaes de Moraes, Fernanda Daniela Dornelas Nunes, Fernanda Borchers Coeli-Lacchini, Anderson Heiji Lima Miyazaki, Milena Flória-Santos, Riccardo Lacchini
Format: Article
Language:English
Published: Universidade de São Paulo
Series:Revista Latino-Americana de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692020000100377&tlng=pt
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author Jordana Carvalhaes de Moraes
Fernanda Daniela Dornelas Nunes
Fernanda Borchers Coeli-Lacchini
Anderson Heiji Lima Miyazaki
Milena Flória-Santos
Riccardo Lacchini
author_facet Jordana Carvalhaes de Moraes
Fernanda Daniela Dornelas Nunes
Fernanda Borchers Coeli-Lacchini
Anderson Heiji Lima Miyazaki
Milena Flória-Santos
Riccardo Lacchini
author_sort Jordana Carvalhaes de Moraes
collection DOAJ
description Objective: to verify the existence of elements that justify the use of pharmacogenetics by the Brazilian nurse. Method: this is a quantitative, cross-sectional, observational, descriptive study, whose final sample was 67 individuals. The participants were healthy at the time of the study and reported a history of previous use and the occurrence of adverse effects by drugs commonly used and metabolized by CYP2C9. We collected 4 mL of venous blood for subsequent DNA extraction by salting out method and genotyping of the CYP2C9*2 and CYP2C9*3 polymorphisms, using Polymerase Chain Reaction in real time using Taqman assays. Results: the use of drugs metabolized by CYP2C9 was frequent (more than 75% of the individuals have already used between 2 or 4 of these drugs). Regarding adverse events, there were 19 perceived symptomatic occurrences associated with drugs metabolized by CYP2C9. The allele frequency of the polymorphism * 2 and * 3 in the population studied was 11.1% and 7.5%, respectively, and there was a coincidence between the presence of alleles of low enzyme activity and the occurrence of adverse effects. Conclusion: there are elements that justify the adoption of pharmacogenetics in the nursing care to reduce the occurrence of adverse reactions to drugs metabolized by CYP2C9.
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spelling doaj.art-d42801cc65ac4f299433f7d0dfe616982022-12-21T20:12:18ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-834510.1590/1518-8345.3415.3265Nurse empowerment through PharmacogeneticsJordana Carvalhaes de MoraesFernanda Daniela Dornelas NunesFernanda Borchers Coeli-LacchiniAnderson Heiji Lima MiyazakiMilena Flória-SantosRiccardo LacchiniObjective: to verify the existence of elements that justify the use of pharmacogenetics by the Brazilian nurse. Method: this is a quantitative, cross-sectional, observational, descriptive study, whose final sample was 67 individuals. The participants were healthy at the time of the study and reported a history of previous use and the occurrence of adverse effects by drugs commonly used and metabolized by CYP2C9. We collected 4 mL of venous blood for subsequent DNA extraction by salting out method and genotyping of the CYP2C9*2 and CYP2C9*3 polymorphisms, using Polymerase Chain Reaction in real time using Taqman assays. Results: the use of drugs metabolized by CYP2C9 was frequent (more than 75% of the individuals have already used between 2 or 4 of these drugs). Regarding adverse events, there were 19 perceived symptomatic occurrences associated with drugs metabolized by CYP2C9. The allele frequency of the polymorphism * 2 and * 3 in the population studied was 11.1% and 7.5%, respectively, and there was a coincidence between the presence of alleles of low enzyme activity and the occurrence of adverse effects. Conclusion: there are elements that justify the adoption of pharmacogenetics in the nursing care to reduce the occurrence of adverse reactions to drugs metabolized by CYP2C9.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692020000100377&tlng=ptCytochrome P-450 CYP2C9PharmacogeneticsDrug-Related Side EffectsAdverse ReactionsNursingNursing Process
spellingShingle Jordana Carvalhaes de Moraes
Fernanda Daniela Dornelas Nunes
Fernanda Borchers Coeli-Lacchini
Anderson Heiji Lima Miyazaki
Milena Flória-Santos
Riccardo Lacchini
Nurse empowerment through Pharmacogenetics
Revista Latino-Americana de Enfermagem
Cytochrome P-450 CYP2C9
Pharmacogenetics
Drug-Related Side Effects
Adverse Reactions
Nursing
Nursing Process
title Nurse empowerment through Pharmacogenetics
title_full Nurse empowerment through Pharmacogenetics
title_fullStr Nurse empowerment through Pharmacogenetics
title_full_unstemmed Nurse empowerment through Pharmacogenetics
title_short Nurse empowerment through Pharmacogenetics
title_sort nurse empowerment through pharmacogenetics
topic Cytochrome P-450 CYP2C9
Pharmacogenetics
Drug-Related Side Effects
Adverse Reactions
Nursing
Nursing Process
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692020000100377&tlng=pt
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