Concordancia en la elección de antimicrobianos en la Neumonía Adquirida en la Comunidad en un hospital nivel III - Trujillo, y las Guías de Práctica Clínica, julio-diciembre 2019
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Date
2022
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Universidad Nacional de Trujillo
Abstract
El propósito de la presente investigación es evaluar la concordancia en la elección de antimicrobianos en la Neumonía adquirida en la comunidad en un hospital nivel III - Trujillo, y las Guías de Práctica Clínica, julio-diciembre 2019. Se hizo la selección de las Guías de Práctica Clínica del Ministerio de Salud del Perú, Guías de Práctica Clínica Colombia y Guías de Práctica Clínica México, tomando en cuenta ciertos criterios de pertinencia como de referencia nacional y para las internacionales que sean de países con casuísticas epidemiológicas similares. La evaluación de la concordancia se hizo en base a los factores tales como: indicación, dosis, pauta posológica y duración de tratamiento, de los cuales se analiza cada línea de tratamiento farmacológico antimicrobiano y se cataloga según nivel de concordancia como alto, moderado o bajo, en función de la similitud con cada línea de tratamiento. La Guía de Práctica Clínica del Hospital Víctor Lazarte Echegaray, tiene un nivel de concordancia alta con la Guía de Práctica Clínica de México (frecuencia porcentual de concordancia de 100.00) (amoxicilina y azitromicina) y nivel concordancia moderada con las Guías de Práctica Clínica del MINSA y Colombia (frecuencia porcentual de concordancia de 66.68), respecto a la indicación en antimicrobianos. Así mismo, un nivel de concordancia moderada con las Guías de Práctica Clínica del MINSA, Colombia y México (frecuencia porcentual de concordancia de 66.68), respecto a la dosis y pauta posológica, teniendo similitud en la primera y tercera línea del esquema de tratamiento antimicrobiano. Finalmente, un nivel de concordancia alta con las Guías de Práctica Clínica del MINSA, Colombia y México (frecuencia porcentual de concordancia de 100.0), respecto a la duración de los antimicrobianos indicados. Concluyendo, que la Guía de Práctica Clínica del Hospital Víctor Lazarte Echegaray tiene una mayor concordancia con la Guía de Práctica Clínica de México, en base a la similitud de indicación y duración de tratamiento.
ABSTRACT The purpose of this research is to evaluate the concordance in the choice of antimicrobials in community-acquired pneumonia in a level III hospital - Trujillo, and the Clinical Practice Guidelines, July-December 2019. The selection of the Clinical Practice Guidelines was made. Clinical Practice of the Ministry of Health of Peru, Clinical Practice Guidelines Colombia and Clinical Practice Guidelines Mexico, taking into account certain criteria of relevance as a national reference and for international ones that are from countries with similar epidemiological casuistries.The evaluation of agreement was made based on factors such as: indication, dose, dosage regimen and duration of treatment, of which each line of antimicrobial pharmacological treatment is analyzed and classified according to the level of agreement as high, moderate or low, depending on the similarity with each line of treatment. The Clinical Practice Guideline of the Víctor Lazarte Echegaray Hospital has a high level of agreement with the Clinical Practice Guideline of Mexico (percentage frequency of agreement of 100.00) (amoxicillin and azithromycin) and a moderate level of agreement with the Clinical Practice Guidelines of MINSA and Colombia (percentage frequency concordance of 66.68), regarding the indication in antimicrobials. Likewise, a moderate level of agreement with the Clinical Practice Guidelines of MINSA, Colombia and Mexico (concordance percentage frequency of 66.68), regarding the dose and dosage regimen, having similarity in the first and third line of the antimicrobial treatment scheme. Finally, a high level of agreement with the Clinical Practice Guidelines of MINSA, Colombia and Mexico (percentage frequency of agreement of 100.0), regarding the duration of the indicated antimicrobials. Concluding, that the Clinical Practice Guide of the Víctor Lazarte Echegaray Hospital has a greater concordance with the Clinical Practice Guide of Mexico, based on the similarity of indication and duration of treatment.
ABSTRACT The purpose of this research is to evaluate the concordance in the choice of antimicrobials in community-acquired pneumonia in a level III hospital - Trujillo, and the Clinical Practice Guidelines, July-December 2019. The selection of the Clinical Practice Guidelines was made. Clinical Practice of the Ministry of Health of Peru, Clinical Practice Guidelines Colombia and Clinical Practice Guidelines Mexico, taking into account certain criteria of relevance as a national reference and for international ones that are from countries with similar epidemiological casuistries.The evaluation of agreement was made based on factors such as: indication, dose, dosage regimen and duration of treatment, of which each line of antimicrobial pharmacological treatment is analyzed and classified according to the level of agreement as high, moderate or low, depending on the similarity with each line of treatment. The Clinical Practice Guideline of the Víctor Lazarte Echegaray Hospital has a high level of agreement with the Clinical Practice Guideline of Mexico (percentage frequency of agreement of 100.00) (amoxicillin and azithromycin) and a moderate level of agreement with the Clinical Practice Guidelines of MINSA and Colombia (percentage frequency concordance of 66.68), regarding the indication in antimicrobials. Likewise, a moderate level of agreement with the Clinical Practice Guidelines of MINSA, Colombia and Mexico (concordance percentage frequency of 66.68), regarding the dose and dosage regimen, having similarity in the first and third line of the antimicrobial treatment scheme. Finally, a high level of agreement with the Clinical Practice Guidelines of MINSA, Colombia and Mexico (percentage frequency of agreement of 100.0), regarding the duration of the indicated antimicrobials. Concluding, that the Clinical Practice Guide of the Víctor Lazarte Echegaray Hospital has a greater concordance with the Clinical Practice Guide of Mexico, based on the similarity of indication and duration of treatment.
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Keywords
Neumonía adquirida en la comunidad, Tratamiento antimicrobiano, Guías de práctica clínica