García Lirola M A, Cabeza Barrera J, Ignacio García J M, Rabadán Asensio A
Distrito de Atención Primaria Bahía de Cádiz, Puerto de Santa María.
Aten Primaria. 1997 May 31;19(9):487-92.
To analyse the profile and quality of antibacterials (ABs) prescription in a primary care (PC) district during 1994 and 1995.
A longitudinal, descriptive and retrospective study.
PC doctors from the PC district Bahía de Cádiz (Cádiz).
The prescriptions for ABs belonging to the following groups were studied: JO1 (systemic antibiotics), JO3 (systemic chemotherapy drugs), GO4A (antiseptics and drugs for urinary infection) and RO5C1 (expectorants, with mucolytic drugs included with anti-infection ones). The unit of measurement was the daily defined dose (DDD). DDD per 1,000 inhabitants per day (DID) and the DDD percentage of each AB versus the total were used as quantitative indicators. The qualitative indicators were: origins of use of ABs in PC and %DDD of non-justified associations (NJA) (RO5C1 group).
The prescription profile of ABs in the area is similar to, and somewhat more favorable than, that described in the literature for similar areas. In the reconverted network there was a more rational prescription than in the non-reconverted network for the two years of the study. In both types of network a light improvement in the indicators studied was observed from 1994 to 1995.
分析1994年和1995年某基层医疗区抗菌药物（ABs）的处方概况及质量。
纵向、描述性回顾性研究。
加的斯湾基层医疗区（加的斯）的基层医疗医生。
研究了以下几组抗菌药物的处方：JO1（全身用抗生素）、JO3（全身用化疗药物）、GO4A（防腐剂及泌尿系统感染用药）和RO5C1（祛痰药，包括与抗感染药物一同使用的黏液溶解剂）。测量单位为限定日剂量（DDD）。采用每千居民每日限定日剂量（DID）以及每种抗菌药物的DDD占总量的百分比作为定量指标。定性指标为：基层医疗中抗菌药物的使用来源以及不合理联合用药（NJA）的DDD百分比（RO5C1组）。
该地区抗菌药物的处方概况与文献中描述的类似地区情况相似，且略为有利。在研究的两年中，改建后的医疗网络中的处方比未改建的更为合理。在这两种类型的医疗网络中，从1994年到1995年，所研究的指标均有轻微改善。
