Distrito Federal Research Articles

Synchronous and asynchronous tele-exercise for older adults: study protocol for a randomized clinical trial

Objective: Multicomponent physical training, carried out via tele-exercise, can contribute to a healthier lifestyle in the elderly. The objective is to present the intervention protocol of the “Idoso Ativo” (Active Older Adult) program via tele-exercise, synchronously and asynchronously. Method: This is a randomized clinical trial with two groups performing tele-exercise. Participant recruitment will be done via digital platforms, social media pages and printed leaflets distributed in the different regions of Distrito Federal. Both groups will perform exercises three times a week, lasting 50 min, and the intervention period will be 12 weeks. Discussion: The hypothesis is that the multicomponent exercise program offered online will provide improvements in muscular strength, balance and mobility in both groups. A higher adherence rate is expected in relation to the asynchronous group, and it is believed that the positive effects on physical health, minimizing the negative outcomes caused by inactivity, are present in participants in both groups.

Emergency surgery for traumatic brain injury in geriatric patients

Objectives: Verify the sociodemographic profile of an elderly victim of trauma due to a fall who is admitted to the ICU of a public reference hospital to determine whether there are relationships between his age, comorbidities, length of stay, complications and clinical results. A retrospective analytical study with a quantitative approach was carried out between April and October 2014 in the Intensive Care Unit (ICU) of the Hospital de Base do Distrito Federal, administered by the State Department of Health of the Federal District, DF. Using the TrakCare® computerized medical record, sociodemographic data were found on elderly people hospitalized between the fall of July 2012 and July 2014, including mechanisms of trauma, comorbidities, length of stay, use of invasive devices, vasoactive and sedative drugs, complications and clinical internships. Results: The sample was made up of 52 elderly people, the majority of whom were men and the injury was a fall in height. Lung infection, septic shock, use of blood products and acute renal failure were the main complications. Despite the high mortality observed in the study, the majority of elderly people survived the traumatic event. Male sex, traumatic brain injury (TBI), pulmonary septic shock and dialysis were the main causes of mortality. Conclusion: Falling in height, fractures and severe TBI were extremely common, and most patients had more than one complication during hospitalization. No significant difference was found between age and mortality.

Legal abortion performed by pre-teens: primary health care workers’ perception and knowledge

This study aims to put into evidence Distrito Federal’s (DF) primary health care workers’ perception and knowledge regarding legal abortion, performed by 10 to 14 year old pre-teens. This is a descriptive study of qualitative approach. Semi-structured interviews were done to 17 primary health care workers currently working in Basic Health Units (BHU) of DF, under contract with DF’s Secretariat of Health. This article showed the worker’s lack of knowledge regarding legal abortion and specific care towards the age group, copying their knowledge regarding adults without adaptation for pre-teens. Workers’ personal beliefs influenced their practice and their choice to correctly inform Health Care users.

Access to primary healthcare services among adults with disabilities in Brazil.

To investigate perspectives of people with disabilities in Brazil regarding the access to primary healthcare. In-depth interviews were conducted with 44 individuals with disabilities in Pernambuco, Distrito Federal, and São Paulo between March 2020 and November 2021. These interviews were transcribed, coded, and analysed thematically, using the Levesque framework to identify healthcare access barriers. Participants expressed a solid understanding of their healthcare needs and existing obstacles. However, individuals with hearing and visual impairments experience challenges because of communication barriers. In Pernambuco, the Community Health Agent was often the initial point of contact for primary care services. Public transportation lacked accessibility, from buses to driver attitudes, posing difficulties for people with disabilities. More accessible transportation and improved urban infrastructure could enhance service access. High medication costs were reported due to limited healthcare unit availability. Communication accessibility issues, inadequate audio-visual resources and equipment were also identified as barriers. Attitudinal barriers among healthcare professionals and subpar home visit services further hinder access. To address these challenges and improve the well-being of individuals with disabilities in Brazil, comprehensive action is essential. This includes leadership, governance, and resource allocation reforms to meet healthcare needs. Initiatives like disability-focused training for service providers, enhanced transportation options, improved information accessibility, and increased support from community healthcare workers can collectively enhance the lives of people with disabilities.

B-198 Rapid Molecular Detection of Respiratory Infections in Brazilian Hospitals and Outpatient Units: Insights from the Diagnostic Medicine and Health Network

Abstract Background Diagnosing agents causing respiratory infections remains a global challenge due to the numerous coexisting agents and similar symptoms. This study evaluates the epidemiology of viral and bacterial agents responsible for major respiratory infections through molecular detection in patients across various Brazilian hospital units served by a clinical diagnostic and health laboratory. Understanding the distribution and prevalence of these pathogens is crucial for effective diagnosis, treatment, and prevention strategies in the face of evolving epidemiological landscapes. Methods Utilizing an internal database, we conducted a comprehensive analysis of tests performed on the FilmArray® system. This system employs multiplex PCR technology, capable of simultaneously identifying 21 respiratory agents in a single sample obtained from nasopharyngeal and bronchial lavage specimens collected from diverse geographical regions across Brazil. The data for the examination of patient samples with respect to gender, age group, geographical regions, and the prevalence of various agents between January 2021 and April 2023 were retrieved from the database and analyzed. To ensure privacy, sensitive and individual data from all patients were meticulously preserved throughout the study. Results The analysis encompassed a diverse sample of 477 patients, originating from 26 cities across 11 Brazilian states, including Goiás, Minas Gerais, Mato Grosso, Pará, Paraná, Rio de Janeiro, São Paulo, Tocantins, Amazonas, Bahia, and Distrito Federal. The distribution of patients was nearly split between hospital settings (39.8%) and outpatient units, with hospital patients predominantly from departments such as internal medicine, cardiology, and nephrology. In contrast, outpatient samples were primarily requested by specialists in pulmonology and infectious diseases. The demographic profile revealed an average age of 36 years, with a majority male representation (54%). However, a notable shift occurred in the first four months of 2023, where females constituted 60.8% of the sample. The overall test positivity rate stood at 42.3%, with a significant detection of 71% (15 out of 21) of the surveyed respiratory agents at some point during the study period. The most frequently identified pathogens were Rhinovirus, Enterovirus, and SARS-CoV-2, collectively accounting for 55.1% of the positive findings. Additionally, mixed infections were observed in 29 (6%) of the patients, with combinations such as SARS-CoV-2 and Rhinovirus, SARS-CoV-2 and H3N2, and SARS-CoV-2 and RSV, among others, highlighting the complexity of respiratory infections. Conclusions The findings from this study underscore the critical role of advanced molecular diagnostics in the Brazilian clinical-laboratory landscape. The utilization of multiplex PCR technology has proven to be a pivotal tool in accurately identifying a wide array of respiratory pathogens, thereby enhancing the precision of diagnosis and treatment strategies. The detection of a high prevalence of agents such as Rhinovirus, Enterovirus, and SARS-CoV-2, along with the identification of mixed infections, highlights the complexity of respiratory infections and the necessity for robust diagnostic tools. This study not only contributes to the understanding of the epidemiology of respiratory infections in Brazil but also emphasizes the importance of continuous advancements in molecular diagnostics for better patient care and public health management.

Evaluation of the Bioactive Compounds of Apis mellifera Honey Obtained from the Açai (Euterpe oleracea) Floral Nectar.

The biodiversity of Brazil provides an excellent climate and favorable pollination conditions for Apis mellifera L., especially in the Eastern Amazon region, which boasts vast floral wealth, including an abundance of açaí (Euterpe oleracea) flowers and fruits. In the present study, seven types of honey were evaluated: three containing floral nectar from açaí (Açaí honey) collected in the Eastern Amazon region (Açaí honey from Breu Branco (AH1 and AH2) and Açaí honey from Santa Maria (AH3), both from the state of Pará, Brazil) and four honeys from different regions of Brazil (Aroeira honey from Minas Gerais, Cipó-Uva honey from Distrito Federal, Mangue honey from Pará, and Timbó honey from Rio Grande do Sul). The characteristics of these honeys were evaluated by examining their physicochemical properties, melissopalynological aspects, color, antioxidant potential, and their constituent compounds, which were confirmed through GC-MS analysis. Açaí floral nectar honeys presented physicochemical results similar to those of other honeys, aligning with Brazilian legislation norms, but differed in their high values of free acidity, apparent sugars, and lower reducing sugars, which are directly related to their botanical origin. These differences correlate with unique flavor and distinct aroma characteristics. Melissopalynological analysis confirmed the botanical origin of the honeys containing açaí floral nectar, which had a color range from amber to dark amber. The three açaí honeys demonstrated high antioxidant capacity and superior flavonoid and polyphenol content compared to other honeys, particularly the açaí honey from Breu Branco (AH1), which had four times the content to combat free radicals compared to the honey with the highest potential (Aroeira honey). GC-MS analysis confirmed the presence of antioxidant properties as well as potential anti-inflammatory, antibacterial, antimicrobial, and antitumor capabilities in açaí honeys, which have not yet been fully studied.

The puparium of Cyphomyia wiedemanni Gerstaecker, 1857 (Diptera: Stratiomyidae) found in cassava (Manihot esculenta) roots

The puparium of Cyphomyia wiedemanni Gerstaecker, 1857 is hereby described for the first time, based on 14 puparia from specimens collected buried in soil and feeding off the roots of cassava (Manihot esculenta Crantz) plants in an area of industrial cassava plantation in Distrito Federal (15°35′30″S, 47°42′30″W), Brazil and, reared in controlled lab conditions until the emergence of adults. Unprecedented data on the occurrence of Cyphomyia wiedemanni in Distrito Federal (new record), and the relationship of the larvae with the cassava plants are discussed.

Air layering in Caryocar brasiliense: effect of substrate

The commercial propagation of Caryocar brasiliense Cambess is hindered by several factors, including seed dormancy and low cutting survival rates. Air layering studies are needed to overcome these limitations. Previous studies have reported the influence of substrates on the rooting of air layers for different species. Therefore, the objective of this study was to evaluate the influence of substrates on air layering of Caryocar Brasiliense. An experiment was conducted with eight stock plants located at Embrapa Cerrados, Distrito Federal, Brazil, using different substrates, including Bioplant®, coconut fiber, a mixture of Bioplant® and coconut fiber in 3:1, 1:1, 1:3 proportions, rice husk biochar, vermiculite, sawdust, soil, and sand. Each treatment was replicated four times. After five months, the survival rate, callus formation, rooting percentage, root length, fresh and dry root mass, and rooting vigor were evaluated. The survival and callus formation rates in all substrates were above 95%. Bioplant® substrate provided the highest rooting percentage (77%), fresh and dry root mass (17.08g and 3.16g, respectively), while soil provided the lowest rooting percentage (17%) and fresh and dry root mass (0.1g and 0.02g, respectively). The average root length was 6.63 cm in the 1:1 mixture. Based on the evaluated characteristics, Bioplant® is the most suitable substrate for the propagation of C. brasiliense stock plants by air layering. The results suggest that air layering is a viable alternative to the vegetative propagation of Caryocar brasiliense stock plants.

Chemical characterization and antibacterial activities of Brazilian propolis extracts from Apis mellifera bees and stingless bees (Meliponini).

The aim of this study was to evaluate the physicochemical composition and antibacterial activity of Brazilian propolis extracts from different types, concentrations, and extraction solvents and from different regions in Brazil. A total of 21 samples were analyzed, comprising 14 samples from Apis mellifera (12 green, 1 brown, and 1 red) and 7 samples from stingless bees (3 mandaçaia, 2 jataí, 1 hebora, and 1 tubuna). The analyses performed were dry extract, total phenolic content (TPC) and antioxidant activity (DPPH and ABTS). The antibacterial activity was performed by Determination of Minimal Inhibitory Concentration (MIC) and Minimal Bactericidal Concentration (MBC). The results showed that very low levels of phenolic compounds and antioxidant activity decreased the antimicrobial activity of the propolis extracts from tubuna and jataí. However, there was no correlation between the increase in propolis concentration in the extract, and the increase in antimicrobial activity. The highest TPC and antioxidant activity was obtained for green propolis extract made with 70% raw propolis that presented similar antibacterial activity to the samples formulated with 30% or less raw propolis. The aqueous propolis extract showed lower antimicrobial activity compared to the alcoholic extracts, indicating that ethanol is a better solvent for extracting the active compounds from propolis. It was observed that the MIC (0.06 to 0.2 mg/mL) and MBC (0.2 to 0.5 mg/mL) values for Gram-negative bacteria were higher compared to Gram-positive bacteria (MIC 0.001-0.2 mg/mL, and the MBC 0.02-0.5 mg/mL). The propolis extracts that exhibited the highest antimicrobial activities were from stingless bees hebora from the Distrito Federal (DF) and mandaçaia from Santa Catarina, showing comparable efficacy to samples 5, 6, and 7, which were the green propolis from the DF. Hence, these products can be considered an excellent source of bioactive compounds with the potential for utilization in both the pharmaceutical and food industries.

Jóvenes investigadores: enfrentamiento a las arbovirosis y participación juvenil en el território

This study analyzes a Scientific Initiation (SI) program on arboviroses, from the perception of young high school students in Ceilândia – Distrito Federal. Objective: It aims to understand to what extent the SI mobilizes these young people to participate in surveillance and health promotion actions in the territory and understand their motivation to participate in this project. Methodology: The methodology included the analysis of the essays written for the selection to the Training Course for Scientific Initiation in Basic Education and the Arboviroses, the administration of this course, and later a focus group with students to analyze the SI educational process they experienced. Results: The result of the Content Analysis showed that the students’ perception about the SI could be grouped into six categories: students’ motivation for the scientific initiation; the learning process; the training of young scientists; health and environment; youth participation and empowerment, and perceptions of the Public health system in Brazil (SUS). Conclusion: Confronting arboviroses requires broad-spectrum policies and interventions, and the SI strengthened these young students as subjects of rights, broadened their perception of science, health, relationship with the environment, with the Sistema Único de Saúde and stimulated interest in preventive actions to combat arboviroses in these territories. Submission: 12/19/23| Review: 03/27/24| Approval: 04/24/24

Analysis of the competitiveness of Brazilian poultry-meat exporting states (1999-2022)

This study analyzed the performance of Brazilian poultry-meat exporting federative units (states), using the Revealed Comparative Advantage (RCA) and the Relative Position (RPI) indices. Furthermore, the performance matrix based on the linear trend of the calculated indices was elaborated, covering the period from 1999 to 2022 with data obtained from the ComexStat database. The results reveal that the most efficient federative units in the sector are Distrito Federal, Paraná, Santa Catarina, Rio Grande do Sul and Mato Grosso do Sul. On the other hand, the other states examined presented comparative disadvantages. It is important to highlight that all analyzed states had surpluses in poultry meat exports, which contribute positively to their trade balance. Furthermore, throughout the period, most federative units presented stable indicators, which suggest a consistent and favorable scenario for the sector.

Demographic, socioeconomic, and health structure factors associated with the use of HIV pre-exposure prophylaxis in Brazil: A nationwide ecological study.

Aims: To assess the cumulative rate of HIV Pre-Exposure Prophylaxis (PrEP) users in Brazil since its 2018 implementation and to analyze the association between PrEP usage and state-level structural factors. Methods: A nationwide ecological study from 2018 to 2022 was conducted, examining the 5-year cumulative rate of PrEP users in relation to demographic, socioeconomic, and healthcare infrastructure variables. Multiple linear regression analysis identified significant predictors of PrEP utilization. Results: Between 2018 and 2022, 124,796 individuals used PrEP, with a cumulative rate of 61.5 per 100,000 population. The highest usage was in Minas Gerais, São Paulo, and Santa Catarina, while the lowest was in Distrito Federal, Maranhão, and Alagoas. Regression analysis showed that higher PrEP usage was associated with lower population density, a younger median age, a lower male to female ratio, and reduced social vulnerability. Additionally, PrEP usage was positively associated with the density of medical doctors and the number of dispensing units. Conclusions: The study reveals significant regional disparities in PrEP usage across Brazil, influenced by socioeconomic and healthcare factors. It highlights the need for targeted public health strategies to enhance PrEP access and uptake, especially in socially vulnerable regions.

Phytophthora species causing root and crown rot on castor bean (Ricinus communis) in Brazil

AbstractCastor bean (Ricinus communis) is a crop of great economic importance in Brazil. It is used for producing oil used in the manufacture of cosmetics and biodiesel. The genus Phytophthora contains pathogens with a wide range of host plants, including ornamentals, fruit and vegetable crops. Among the symptoms induced by Phytophthora species are collar and root rot. This study aimed to identify Phytophthora species causing collar and root rot in castor bean seedlings in the Federal District and test their pathogenicity. Samples of symptomatic plants were collected in four satellite cities in Distrito Federal, Brazil. Fourteen isolates were obtained, and they were initially identified through the morphology of reproductive structures. The isolates were subjected to molecular characterization using phylogeny of the sequences from the ITS region and the Cytochrome Oxidase II gene. Ten isolates of the pathogen were tested for pathogenicity on seedlings of two castor bean accessions and species known to be hosts of P. nicotianae. The isolates were identified as P. nicotianae (12 isolates) and P. palmivora (two isolates). In the pathogenicity test, all isolates were capable of causing disease in castor beans. The isolates of P. nicotianae and P. palmivora varied in pathogenicity to other plant species. This is the first report of P. nicotianae causing collar and root rot in castor bean in the Central‐West Region of Brazil. It is also the first report of P. palmivora causing diseases in castor beans in South America.

Mortality and years of life lost related to adverse drug events in Brazil.

To assess regional and national mortality and years of life lost (YLL) related to adverse drug events in Brazil. This is an ecological study in which death records from 2009 to 2018 from the Mortality Information System were analyzed. Codes from the International Classification of Diseases 10th revision (ICD-10) that indicated drugs as the cause of death were identified. The number of deaths and the YLL due to adverse drug events were obtained. Crude, age- and gender-specific, and age-adjusted mortality rates and YLL rates per 100,000 inhabitants were formed by year, age group, gender, and Brazilian Federative Unit. Rate ratios were calculated by comparing rates from 2009 to 2018. A joinpoint regression model was applied for temporal analysis. For the selected ICD-10 codes, a total of 95,231 deaths and 2,843,413 YLL were recorded. Mortality rates from adverse drug events increased by a mean of 2.5% per year, and YLL rates increased by 3.7%. Increases in rates were observed in almost all age groups for both genders. Variations in rates were found between Federative Units, with the highest age-adjusted mortality and YLL rates occurring in the Distrito Federal. The numbers and rates of deaths and YLL increased during the study period, and variations in rates of deaths and YLL were observed between Brazilian Federative Units. Information on multiple causes of death from death certificates can be useful for quantifying adverse drug events and analyzing them geographically, by age and by gender.

Hepatotoxicidade do Cestrum axillare em bovinos do Distrito Federal, Goiás e Minas Gerais

ABSTRACT: This study reports four outbreaks of Cestrum axillare poisoning in cattle. Outbreaks occurred in farms of the Distrito Federal, Goiás, and Minas Gerais states during the dry season, affecting cows and heifers, with a mortality rate of 1 to 14,28%. Poisoned animals showed neurological signs and recumbency, followed by death within 12 hours, and some animals were found dead. Gross and histological lesions were typical of acute hepatotoxicity with hepatomegaly, enhancement of lobular pattern, and centrilobular to massive necrosis. This study seems to be the first report on C. axillare poisoning in cattle in the Distrito Federal, Goiás, and Triângulo Mineiro. C. axillare poisoning must be included in the differential diagnosis for cattle with hepatic necrosis in these locations.

White buildings, Red Dust: Brasilia in Ektachrome Colour

Brasília’s red dust is everywhere. Regularly tinting the white surfaces of Brasília’s modernist buildings red, a great effort of human labor is required every day to maintain their intended autonomy. Dust clouds first appeared in February 1957 due to massive earthworks and the clearing of the original landscape. While large tractors and caterpillars aggressively manipulated the ground following the forms of Lucio Costa’s Pilot Plan, a formless entropic dispersal of red soil microparticles filled the air. As the floating dust spread over Brasília’s construction site, it also filled the printed pages of newspapers and magazines. This article intends to discuss how dust tainted the representation of Brasília. As modernist architecture confronted the landscape, dust introduced a distortion in the pure image of Brasília, threatening not only the whiteness of the upcoming architectures but also contaminating drawings, cameras, lenses, printed photographs, clothes and lungs. While most of the architectural black and white photos of Brasília tended to produce clean images, the introduction of the newest color film Ektachrome by photojournalists made earthworks and dust visible. Associated with grainy reproduction in illustrated magazines and speckles of dust in the negatives themselves, the images enhanced the perception of Brasília’s total environmental design. If dust is, according to Richard Meyer, “an environment in miniature, a physical archive of our material surroundings,” this article analyzes how these fine particles of solid matter and their accidental reproduction, operated as visual dissonances that confuse the modern distinction between nature and culture. Cover image: Mário Fontenelle, Clearing, c.a. 1958, Arquivo Público do Distrito Federal

Influência da Organização do Trabalho nos Riscos Psicossociais: uma Revisão Sistemática da Literatura

Introduction The various changes that have occurred in recent decades have directly affected the health of workers, especially the psychosocial risks that cause physical or psychological illness. Psychosocial risk factors are important in the health care process, including how work is organized, time arrangements are determined, social relationships occur, and content and workload are structured, in terms of mental and social demands for each worker. Objective Verify the influence of work organization on the psychosocial risks of workers. Methodology A systematic review of the literature was performed using Methodi Ordinatio, which allowed the ranking of relevant works on the subject. Thirteen papers were selected for an in-depth analysis. Results The rate of mental and behavioral disorders is higher, respectively, in the Brazilian states of Rio Grande do Norte, Minas Gerais, Pernambuco, Rio de Janeiro, Distrito Federal, Santa Catarina, Rio Grande do Sul, Bahia, São Paulo and Paraná; with public administration workers being the most affected. It was demonstrated that the main causes of psychosocial risks are related to the working day (long hours and intense work rhythm), followed by lack of resources and problems of interpersonal relationships. Discussion and conclusion Measures to prevent psychosocial risks will depend on the situation with which the risk is associated, and organizational intervention in the prevention and management of these risks is of great importance. KEYWORDS: Ergonomics, Psychosocial, Occupational Medicine, Occupational Health, Safety at Work.

Caracterização da formação de terapeutas ocupacionais do Distrito Federal em relação ao campo da Educação

Introduction: Studies point to the importance of the occupational therapists’ performance in education; however, there is a gap in knowledge about academic and complementary education in relation to this field. Objective: To understand the reality regarding the academic and complementary training of occupational therapists in Distrito Federal, Brazil, who have already carried out interventions related to the field of Education, in order to present suggestions for improving this training. Method: Cross-sectional, descriptive and exploratory study with a quantitative and qualitative approach, with the participation of 40 occupational therapists from Distrito Federal, who responded to an online questionnaire. Results and discussion: During undergraduate studies, half of the participants took a specific elective discipline of the field (n=20; 29%), and/or non-specific elective discipline (n=19; 27%). This scenario raised reflections on the approach to content aimed at a broad and diverse performance. It was verified that the participants invested more in complementary activities in the field after completing their degree (n=28; 70%), than during their degree (n=23; 57%). Therefore, the provision of these activities in initial training, the presence of professors of the field and the interest of students are discussed. Investment in content that relates to possibilities for the profession’s actions in the field of Education, especially on reasonable adaptations, suitability/adaptation of environments, materials and curricula, in addition to practices and internships, were highlighted as suggestions for improvements to the undergraduate training. Conclusion: Understanding the reality about training to work in education, based on the understanding of the academic trajectory of the occupational therapists, can contribute to reflections on the field.

A new Brazilian species of Segonalia Young 1977 (Hemiptera, Cicadellidae, Cicadellini) and key to species.

A new remarkable Segonalia species is described from Brazil, based on specimens from Distrito Federal and Minas Gerais State. The genus now includes three valid species, which are all recorded for Brazil, and the type-species Segonalia steinbachi is also recorded for Bolivia. The new species is described and illustrated, a key to males of the genus is provided and the distribution is discussed.

Evaluation of Pharmaceutical Services in Public Hospital Pharmacies of Federal District - Brazil

ObjectiveTo evaluate pharmaceutical services in public hospital pharmacies of the Federal District Health Department - Brazil (Secretaria de Saúde do Distrito Federal, SES-DF). MethodA cross-sectional evaluative study involving the 15 public hospitals under the SES-DF management. Hospitals were characterized and classified into four hierarchical strata. The pharmaceutical services related to programming (quantity of medication to order), acquisition, storage, distribution, management, selection, information, pharmacotechnical component, pharmacotherapy follow-up, teaching and research were evaluated using validated indicators. Next, algorithms were applied and the approximation percentages of service compliance were calculated, then correlated to variables that could influence their results through linear regression analysis. ResultsOnly four hospital pharmacies presented good compliance with the evaluated services, three of them belonging to less complex hospitals. Only the storage and management services presented good performance. The variables that most influenced the performance of the services were managerial aspects related to pharmacists and non pharmacists' workload per bed, the existence of a program for human resources qualification, planning goals and targets and a manual of norms and procedures, as well as professional qualification and adequacy of the area in which the services were performed (p < 0.01). ConclusionsThe evaluated hospital pharmacies had average performance for services compared to the ideal and better performance in logistics activities. Pharmaceutical services require constant evaluation for rational interventions that increase the proportion of executed health care activities and local management capacity to make such actions more effective, efficient, qualified and safe in the context of the SES-DF hospital network.