Prescripción antibiótica en la atención ambulatoria del servicio de emergencia del Hospital III de EsSalud de Iquitos en el año 2009

Abstract

Determina las características de la prescripción antibiótica en la atención ambulatoria del servicio de emergencia del Hospital III de EsSalud de Iquitos, en el año 2009

Objective: to determinate characteristics of antibiotic prescription in ambulatory care of emergency service of Hospital III EsSalud – 2009. Introduction: In the clinic practice is frequent watching various kind of prescription unsuitable antibiotic such us: prescription in no bacterian infection, administration of insufficient dose and during inadequate period, no adhesion of the patient to the treatment, neglect of medication once the symptom disappear; carrying to two important problem bacteria resistant and upper cost of the attention. Methodology: The work is a non-experimental research, retrospective, descriptive, and observational. Sample: Were evaluated 458 patients in emergency service of hospital III EsSalud 2009. .Its evaluated emergency attention paper, prescription order and report of hospital management system for getting information about age, sex, schedule of attention, infection morbility, diagnose kind, therapy kind, characteristic of prescription. Results: The study shown that 68.8% medical prescription of antibiotics indicated in the emergency service III EsSalud Hospital was unsuitable indications, and 35.9% was suitable .The prescription was suitable with more frequency in people older than 60 years old, 41.9%,in male 38.7%, in the morning schedule 40.8%.In 68.8 % (315) of infectious cases were prescription ordered any antibiotic. The infections with more antibiotic medical prescription were urinary tract infection (UTI), cellulite, skin infection, pneumonia, bronchiolitis. Minus medical prescription were rhinopharyngitis and virus cases. The antibiotics group more prescription were natural penicillin (38.1%), quinolone (22.5%), penicillin of major spectrum (10.2%), and lincosamide (9.2%).The antibiotics prescription ordered with more frequency were penicillin procain (24.8%), ciprofloxacin tab (16.2%), penicillin benzathine (13.3%), amoxicillin (10.2%), dicloxacillin (7.6%) and clindamycin (7.3%). Conclusions: The antibiotics are a medicine group of most utility in the world, nevertheless are the cause of more inconvenient such us: adverse effects including serious or mortal, up of resistant bacteria, augment in sanitary expend, for this is necessary updating and diffusing of medical guides, and keep a training constant