Portal de Periódicos da CAPES

Variabilidad en la prescripción de antibióticos en la provincia de Ávila

2007; Volume: 20; Issue: 1 Linguagem: Espanhol

1130-331X

Miguel Ángel Lozano, J.I. Jiménez Arce, A. Pedraza Dueñas,

Pneumonia and Respiratory Infections

espanolEl objetivo de nuestro estudio fue analizar el consumo de antibioticos en la provincia de Avila y en sus diferentes Zonas Basicas de Salud (ZBS) durante el ano 2005. Se trata de un estudio observacional retrospectivo, referido al consumo de antibioticos sistemicos (grupo J01 de la ATC), utilizando la informacion del programa Concylia de la Junta de Castilla y Leon. El consumo se ha referido en numero de dosis diarias definidas por mil habitantes, ajustado en relacion a la aportacion economica del usuario en el momento de adquirir el medicamento (DHDAj). Como poblacion de referencia se utilizo la incluida en la base de la tarjeta sanitaria en 2005, ano en que se consumieron en la provincia de Avila 26,91 DHDAj de antibioticos sistemicos, con importantes diferencias entre el medio rural (36,63) y el urbano (15,44), y una gran variabilidad entre las diferentes ZBS. Las ZBS con menor numero de habitantes por nucleo de poblacion y por medico consumen mas antibioticos, lo que puede estar en relacion con enfermedades mas graves, ausencia de autoconsumo o falta de medios diagnosticos, entre otros factores. No hay relacion entre mayor consumo y mayor presion asistencial. Se concluye que el consumo de antibioticos en la provincia de Avila es alto, a expensas del consumo en el medio rural, y que existe una elevada variabilidad entre las diferentes ZBS relacionada con el menor numero de habitantes por nucleo de poblacion y por medico, y sin relacion con la presion asistencial. EnglishThis study analyzed the consumption of systemic antibiotics in the province of Avila, Spain, and its Basic Health Areas (ZBS) during 2005. It was a retrospective observational study of the consumption of systemic antibiotics (ATC class J01) during 2005 using the data collected by the Concylia program. The study population was identified from the 2005 Medical Card Register database. Consumption data was expressed in defined daily doses (DDD) per 1,000 inhabitants per day (DID), calculated in relation to the contribution of the user at the time of acquiring the prescription. It was found that antibiotic consumption in the province of Avila in 2005 was 26.91 DHDAj. There was a considerable difference between rural (36.63) and urban areas (15.44) with a large variability among the different Basic Health Areas. The areas with a smaller number of inhabitants per town or city and per doctor, used more antibiotics, which could be due to more severe pathology, absence of self-medication or lack of diagnostic resources, among other factors. There is no relation between greater consumption and workload. It was concluded that the consumption of antibiotics in the province of Avila is high due to their use in rural areas. A high variability in the consumption of antibiotics was observed between the different areas, which was related to the smaller number of inhabitants per city or town and per doctor, but had no relation to workload.