基层医疗抗菌药物处方分析。

Analysis of antimicrobial prescriptions in Primary Healthcare.

机构信息

Universidade Federal do Piauí , Departamento de Enfermagem , Teresina , PI , Brasil .

Universidade de São Paulo , Escola de Enfermagem de Ribeirão Preto , Ribeirão Preto , SP , Brasil .

出版信息

Rev Esc Enferm USP. 2020 Sep 7;54:e03607. doi: 10.1590/S1980-220X2018046903607. eCollection 2020.

DOI:10.1590/S1980-220X2018046903607

PMID:32935754

Abstract

OBJECTIVE

To evaluate prescription receipts for antimicrobial prescriptions prescribed in primary healthcare units in a capital city in the Northeast region of Brazil.

METHOD

An evaluative, analytical study. Information from the central distribution of essential medicines and the receipts of antimicrobial prescriptions were used.

RESULTS

There were 2,232 prescription receipts analyzed, in which metronidazole (250 mg) was prescribed in 28% of the evaluated prescription receipts, the "pill" pharmaceutical form in 30.7%, and the "oral" administration form in 78.2%. In the prescriptions prescribed by nurses, 80.7% were intended for users with sexually transmitted infections. With the exception of the pharmaceutical form, only 34.7% of the prescriptions were in accordance with the Nursing protocol recommendations. There is still no information on the concentration (43.7%), the dosage (39.9%) and the treatment time (36.8%).

CONCLUSION

The evaluated receipts of antimicrobial prescriptions do not accurately follow the guidelines of Resolution No. 20/2011, nor of the instituted Nursing protocol.

摘要

目的

评估巴西东北部首府基层医疗单位开具的抗菌药物处方的情况。

方法

这是一项评价分析研究，使用了基本药物中央配送信息和抗菌药物处方收据。

结果

共分析了 2232 张处方，其中 28%的处方开了甲硝唑（250 毫克），30.7%的处方是“丸剂”剂型，78.2%的处方是“口服”给药途径。护士开的处方中，80.7%是针对性传播感染患者的。除了剂型外，只有 34.7%的处方符合护理方案建议。仍有 43.7%的处方未提供药物浓度、39.9%的处方未提供剂量、36.8%的处方未提供治疗时间等信息。