社区药房抗生素管理评价

V. Durro, M. Naço, D. Dinkollari, E. Shijaku, S. Saliasi
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摘要

导言:今天,抗生素耐药微生物不仅在医院中遇到,而且在社区中也更加广泛地传播。本研究的目的是评估抗生素耐药性的因素之一,抗生素在社区药房的使用情况。材料与方法:本研究在某社区药房进行。收集的数据涵盖2022年4月至6月期间,包括相当数量的患者和具体病例。数据收集的基础是家庭医生开具的抗生素处方和对药房客户的访谈。结果:参考我们的数据,88.3%到药房就诊的患者有医生处方所需抗生素,11.7%没有医生处方。在研究期间使用最多的抗生素是环丙沙星,占16%,其次是阿奇霉素(15.5%)和阿莫昔拉夫(10.9%)。按医生专业分类,泌尿科医生开具抗生素处方最多,占18.6%,其次是肺科医生16.8%,家庭医生15.9%。结论:大多数抗生素是医生根据自己的经验开处方,而不是根据实验室检查结果开处方。在这种情况下,非常重要和迫切需要审查国家抗生素用于治疗感染的计划和方案。
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Evaluation of Antibiotic Administration in Community Pharamacy
Introduction: Today, resistant microorganisms to antibiotics are not only encountered in hospitals, but they are also spreading more widely in the community. The aim of this study was to evaluate one of the factors of antibiotic resistance, the administration of antibiotics in the community pharmacies. Materia and method: The study was conducted in an comunity pharmacy. The collected data covers the period of time April - June 2022, including a considerable number of patients and concrete cases. The base for data collection are the prescription of antibiotics by the family doctor and interviews with clients presented at the pharmacy. Results: Referred our data 88.3% of the patients directed to the pharmacy had the doctor's prescription for the required antibiotics and 11.7% do not have it. The most used antibiotic for the period taken in the study is ciprofloxacin, 16%, followed by azithromycin (15.5%) and amoxiclav (10.9%). According to doctor's specialty, the most of antibiotic prescriptions were from urologist doctor 18.6% , followed by the pulmonologist 16.8% and the family doctor 15.9%. Conclusions: Most of antibiotic are prescribe by doctor based in their experience and not to laboratory test results. In this situation is very important and urgent needs review national plan and protocols of antibiotic used in treatment of infections.
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