Intervención farmacéutica ante la demanda y dispensación de antibióticos en una farmacia comunitaria

[EN]The Community Pharmacists must cooperate guaranteeing the adequate use of antibiotics and in this way avoid the emergence of antimicrobial resistance, which poses a serious sanitary problem. The pharmaceutical intervention in response to the demand for antibiotics for oral administration is stud...

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Detalles Bibliográficos
Autores: Codesal Fidalgo, Marina, Martín Suárez, Ana María, Codesal Gervás, Tomás
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/138976
Acceso en línea:http://hdl.handle.net/10366/138976
Access Level:acceso abierto
Palabra clave:antibióticos
resistencia
dispensación
intervención farmacéutica
antibiotics
resistance
dispensation
pharmaceutical intervention
Descripción
Sumario:[EN]The Community Pharmacists must cooperate guaranteeing the adequate use of antibiotics and in this way avoid the emergence of antimicrobial resistance, which poses a serious sanitary problem. The pharmaceutical intervention in response to the demand for antibiotics for oral administration is studied through private medical prescription, irregular prescription and self-medication, by means of an observational study adopting the SEFAC methodology. 132 users were included. 80% presented a private prescription and 35% did not comply with current regulations. Self-medication was not dispensed (17%), nor 5 irregular prescriptions, 77% of them being referred to the doctor. In minor disorders, hygienic-dietetic measures or over-the-counter medications were suggested. The main indications were odontogenic, respiratory and urinary infections. The most demanded antibiotics were betalactamics. Although three out of four patients knew the indication, regimen and duration of treatment, only one in ten adverse effects, contraindications or interactions. PRM was detected in 30% of the cases and in 25% risk of occurrence of RNM was detected. With a protocolized action, it has been possible to supply health education and information in the use of the antibiotic, avoid unnecessary use, refer the doctor when it was convenient and improve the safety and effectiveness of the treatments.