Análisis del uso racional de antimicrobianos usados en infecciones respiratorias altas y su relación con la prescripción médica en el Distrito de Salud N° 18D01 de la ciudad de Ambato en el año 2013,

Abstract

The current research was carried out at the Health District No. 18 D01 in Ambato for the analysis of rational use antimicrobials used in Upper Respiratory Infections and its relationship with the prescription in 2013, with the aim of training all prescribers at District Health, and thus shares the results. A descriptive, retrospective study was conducted by applying the observation technique of scientific type. Then, it was preceded with the analysis of the data, through statistical parameters such as frequency tables and percentages. Health District No. 18D01 from Ambato, is a premier institution of primary care which is part of the Ministry of Public Health. This research counts on a population of 20240. Clinical Unique Files through the formula no finite it was taken a representative sample of 725 medical records which showed a diagnosis of Upper Respiratory Infections (URI), finding the common cold or Rhinopharyngitis as the URI the most frequent 28% and as Sinusitis the least with 3%. The age group affected by the URI corresponds to children with 73%. In addition, 75% of professional prescribers meet the dose, often in Clinical Unique Files, 32% prescribe medicines according to therapeutic protocols, 3% prescribed based on clinical trials, 63% use first-line drugs, 2% use more than one antibiotic, 2% use more anti-inflammatory, 3% use drugs with brand names and 5% use drugs out of National List of Basic Medicines for the treatment of Upper Respiratory Infections. It is recommended to promote training and establish exact controls at the time of prescription of medicines especially antibiotics to improve the rational use of antimicrobials.