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Revista Ciencias de la Salud

Print version ISSN 1692-7273

Abstract

ROMERO VIAMONTE, Katherine  and  BERRONES MARTINEZ, María Belén. Pharmacotherapeutic Follow-up in Patients with Broad-spectrum Antimicrobial in Internal Medicine of a Hospital in Ecuador. Rev. Cienc. Salud [online]. 2019, vol.17, n.1, pp.53-69.  Epub June 10, 2019. ISSN 1692-7273.  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.7613.

Introduction:

For several years there has been concern about the specific increase in the consumption of antimicrobials due to the problems they generate. For this reason it was decided design a pharmaceutical care program for hospitalized patients in open services to avoid the development of problems related to antimicrobial-associated drugs.

Materials and methods:

A retrospective study was conducted on the use of medications, of the prescription-indication type in a study sample of 25 patients who received broad-spectrum antimicrobials in the internal medicine area of the José María Velasco Ibarra Hospital from April to July. 2016.

Results:

76 % of the patients were women; The most frequent pathology that required the use of antimicrobials was complicated urinary tract infection (48 %>); 24 % of patients received more than one broad spectrum antibiotic and the most widely used was imipenem/cilastatin (34.4 %), followed by piperacillin / tazobactam and cefepime, both with 28.1 % and vancomycin (9.4 %); 48 % of the prescriptions were inadequate, the presence of PRM was detected in 84 % of the patients.

Conclusion:

The design of a pharmaceutical care program in hospitalized patients guarantees the identification, prevention and / or solution of the problems related to medicines, their proper use and the quality of care.

Keywords : Drug use study; broad spectrum antimicrobials; pharmacotherapeutic follow-up.

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