Concordancia en la utilización de antibacterianos en un Centro de Salud y las Guías de Práctica Clínica, Trujillo noviembre 2022 – marzo 2023
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Date
2024
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Universidad Nacional de Trujillo
Abstract
El objetivo fue evaluar la concordancia en la utilización de antibacterianos en un Centro de Salud y las Guías de Práctica Clínica (GPC), Trujillo noviembre 2022 – marzo 2023. Estudio descriptivo, retrospectivo y transversal, la muestra fue 221 recetas con diagnóstico Infección del Tracto Urinario (ITU) o Infección Respiratoria Aguda (IRA). Se analizó cada línea de tratamiento como alto, moderado o bajo. Resultados en adultos indican concordancia en 33.34% con GPC Organización Panamericana de la Salud (OPS) y GPC Médecins Sans Frontières (MSF) respecto a factores evaluados en ITU e IRA; 66.68% con GPC Aljarafe respecto a factores evaluados y 33.34% en pauta posológica en ITU y respecto a factores evaluados en IRA. En niños, 33.34% con GPC MSF respecto a factores evaluados en IRA; 66.68% con GPC Aljarafe en factores evaluados en IRA; 66.68% con GPC en atención primaria respecto a factores evaluados, y 33.34% en pauta posológica y duración de tratamiento en IRA. Concluyendo una baja concordancia con las GPC OPS y GPC MSF respecto a factores evaluados en ITU e IRA, y moderada con GPC Aljarafe en adultos. Baja concordancia con GPC MSF en factores evaluados, y moderada con GPC Aljarafe y GPC en atención primaria en IRA en niños.
ABSTRACT The objective was to evaluate the agreement in the use of antibacterials in a Health Center and the Clinical Practice Guidelines (CPG), Trujillo November 2022 - March 2023. Descriptive, retrospective and cross-sectional study, the sample was 221 prescriptions with a diagnosis of Tract Infection. Urinary (UTI) or Acute Respiratory Infection (ARI). Each line of treatment was analyzed as high, moderate or low. Results in adults indicate agreement in 33.34% with CPG Pan American Health Organization (PAHO) and CPG Médecins Sans Frontières (MSF) regarding factors evaluated in UTI and ARI; 66.68% with CPG Aljarafe with respect to factors evaluated and 33.34% with dosage regimen in UTI and with respect to factors evaluated in ARF. In children, 33.34% with MSF CPG regarding factors evaluated in ARI; 66.68% with CPG Aljarafe in factors evaluated in ARI; 66.68% with CPG in primary care regarding evaluated factors, and 33.34% in dosage regimen and duration of treatment in ARI. Concluding a low agreement with the PAHO CPG and MSF CPG regarding factors evaluated in UTI and ARI, and moderate agreement with the Aljarafe CPG in adults. Low agreement with MSF CPG in evaluated factors, and moderate with Aljarafe CPG and primary care CPG in ARI in children
ABSTRACT The objective was to evaluate the agreement in the use of antibacterials in a Health Center and the Clinical Practice Guidelines (CPG), Trujillo November 2022 - March 2023. Descriptive, retrospective and cross-sectional study, the sample was 221 prescriptions with a diagnosis of Tract Infection. Urinary (UTI) or Acute Respiratory Infection (ARI). Each line of treatment was analyzed as high, moderate or low. Results in adults indicate agreement in 33.34% with CPG Pan American Health Organization (PAHO) and CPG Médecins Sans Frontières (MSF) regarding factors evaluated in UTI and ARI; 66.68% with CPG Aljarafe with respect to factors evaluated and 33.34% with dosage regimen in UTI and with respect to factors evaluated in ARF. In children, 33.34% with MSF CPG regarding factors evaluated in ARI; 66.68% with CPG Aljarafe in factors evaluated in ARI; 66.68% with CPG in primary care regarding evaluated factors, and 33.34% in dosage regimen and duration of treatment in ARI. Concluding a low agreement with the PAHO CPG and MSF CPG regarding factors evaluated in UTI and ARI, and moderate agreement with the Aljarafe CPG in adults. Low agreement with MSF CPG in evaluated factors, and moderate with Aljarafe CPG and primary care CPG in ARI in children
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Keywords
Infecciones agudas, tratamiento antimicrobiano, guías de práctica clínica