Estudio comparativo de antimicrobianos endovenosos de mayor rotación en el servicio de Gineco-Obstetricia de un Hospital Nivel II-1 de Trujillo, julio 2021– abril 2022
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Date
2022
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Universidad Nacional de Trujillo
Abstract
El presente informe tuvo como objetivo analizar el estudio comparativo de antimicrobianos endovenosos de mayor rotación en el servicio de Gineco- Obstetricia de un Hospital Nivel II-1 en el período de julio 2021 – abril 2022. La muestra en estudio estuvo conformada por 460 registros informatizados de los pacientes hospitalizados con un tratamiento antimicrobiano en el servicio de Gineco-obstetricia en el período de estudio donde se determinó el consumo de ATM de mayor rotación expresados en DDD/ 100 camas – día, siendo ceftriaxona el antimicrobiano de mayor consumo con un 30,55 DDD/ 100 camas- día. La tendencia de consumo mensual determina que el consumo de los ATMs no está en función del tiempo. El antimicrobiano de mayor incidencia de uso fue ceftriaxona con un 42,16%. El grupo farmacológico de mayor prescripción fueron las cefalosporinas con 46,46%. El diagnóstico más frecuente fue pielonefritis aguda que representa 37,31% de los casos tratados. Así mismo, también se evaluó el antimicrobiano prescrito para cada diagnóstico, siendo todos los apropiados, excepto en el caso de pielonefritis aguda con presencia de E.coli BLEE donde se prescribió ceftriaxona presentado resistencia a este medicamento y no mejoría de la paciente. Con este trabajo de investigación se concluyó la importancia del estudio del consumo de los antimicrobianos para evitar la resistencia bacteriana.
ABSTRAC The objective of this report was to analyze the profile of consumption of intravenous antimicrobials with the highest rotation in the gynecology-obstetrics service of a Level II-1 Hospital in the period from July 2021 to April 2022. The study sample consisted of 460 records. computerized studies of hospitalized patients with antimicrobial treatment in the gynecology-obstetrics service in the study period, where the consumption of ATM with the highest turnover was determined, expressed in DDD/100 beds - day, with ceftriaxone being the antimicrobial with the highest consumption with 30, 55 DDD/ 100 beds-day. The monthly consumption trend determines that ATM consumption is not a function of time. The antimicrobial with the highest incidence of use was ceftriaxone with 42.16%. The pharmacological group with the highest prescription were cephalosporins with 46.46%. The most frequent diagnosis was acute pyelonephritis, which represents 37.31% of the treated cases. Likewise, the antimicrobial prescribed for each diagnosis was also evaluated, all of which were appropriate, except in the case of acute pyelonephritis with the presence of E.coli ESBL, where ceftriaxone was prescribed, showing resistance to this drug and no improvement in the patient. With this research work, the importance of studying the consumption of antimicrobials to avoid bacterial resistance was concluded.
ABSTRAC The objective of this report was to analyze the profile of consumption of intravenous antimicrobials with the highest rotation in the gynecology-obstetrics service of a Level II-1 Hospital in the period from July 2021 to April 2022. The study sample consisted of 460 records. computerized studies of hospitalized patients with antimicrobial treatment in the gynecology-obstetrics service in the study period, where the consumption of ATM with the highest turnover was determined, expressed in DDD/100 beds - day, with ceftriaxone being the antimicrobial with the highest consumption with 30, 55 DDD/ 100 beds-day. The monthly consumption trend determines that ATM consumption is not a function of time. The antimicrobial with the highest incidence of use was ceftriaxone with 42.16%. The pharmacological group with the highest prescription were cephalosporins with 46.46%. The most frequent diagnosis was acute pyelonephritis, which represents 37.31% of the treated cases. Likewise, the antimicrobial prescribed for each diagnosis was also evaluated, all of which were appropriate, except in the case of acute pyelonephritis with the presence of E.coli ESBL, where ceftriaxone was prescribed, showing resistance to this drug and no improvement in the patient. With this research work, the importance of studying the consumption of antimicrobials to avoid bacterial resistance was concluded.
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Antimicrobianos