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Evaluación del uso de antibióticos en mujeres embarazadas con infección urinaria en el Centro de Salud ¨Juan Eulogio Pazymiño¨ del Distrito de Salud 23D02. (Evaluation of Antibiotic Use in Pregnant Women with Urinary Infection in the Juan Eulogio PazyMiño Health Center of Health District 23D02.)

2019; RELX Group (Netherlands); Linguagem: Espanhol

1556-5068

Vladimir Vega Falcón,

Public Health in Brazil

Spanish Abstract: Introduccion: cada ano el indice de infeccion de vias urinarias es mayor por lo que constituye un problema a nivel mundial. Su inadecuado manejo terapeutico ha derivado en la necesidad de investigar metodos para disminuir la resistencia bacteriana. Las mujeres embarazadas son muy vulnerables a contraer este tipo de infeccion. Material y metodos: se realizo un estudio retrospectivo de utilizacion de medicamentos del tipo prescripcion-indicacion en 64 mujeres embarazadas de la provincia de Santo Domingo de los Tsachilas, en el Distrito de Salud 23D02, en el centro de Salud Juan Eulogio PazyMino; en base a la informacion recopilada se desarrollo un programa de atencion farmaceutica basado en el metodo Dader para mejorar la calidad de la prescripcion y contribuir a la disminucion de la resistencia bacteriana en mujeres embarazadas con infeccion de vias urinarias que consumen antibioticos. Resultados: las pacientes con mayor incidencia con infeccion urinaria tenian entre 10 y 19 anos de edad (48,44 %), la bacteria mas frecuente fue la Escherichia coli (55,17 %), el medicamento con mayor resistencia bacteriana fue la cefalexina de 500 mg, se identificaron 2 tipos de Problemas Relacionados con Medicamentos (PRM) a predominio del PRM4 (85,29 %), la intervencion farmaceutica realizada farmaceutico-medico fue aceptada en un 86,95 %. Conclusiones: la investigacion permitio proponer un programa de atencion farmaceutica basado en el metodo Dader para identificar los problemas relacionados con este grupo farmacologico. English Abstract: Introduction: the rate of urinary tract infections has increased during the last years, which constitutes a worldwide problem; therefore, the need to investigate methods to reduce bacterial resistance has emerged from inadequate therapeutic management. Pregnant women are more vulnerable to contracting this type of infection. Material and Methods: a retrospective study in the use of medicines of the type prescription – indication was conducted with 64 pregnant women at Juan Eulogio PazyMino Health Center, which belongs to the 23D02 Health District located in Santo Domingo de los Tsachilas province. Based on the information gathered, a pharmaceutical care program established on the Dader method was developed to improve the prescription quality and thus contribute to the reduction of bacterial resistance in pregnant women with urinary tract infections who consume antibiotics. Results: patients with a higher incidence of urinary tract infections were between 10 and 19 years of age (48.44%), the most common bacteria found was Escherichia coli (55.17%), and, the drug with the highest bacterial resistance was cephalexin of 500 mg. Two types of Medication-Related Problems (MRP) were identified where the most frequent was MRP4 (85.29%). Pharmaceutical – medical intervention was accepted in 86.95% of the doctors. Conclusions: the research allowed to propose a Pharmaceutical Assistance Program based on the Dader method to identify the problems related to this pharmacological group.