Poster
Contents
Abstract
Introduction
Objectives
Materials
& Methods
Results
Discussion
& Conclusion
Recommendations
Discussion
Board |
Porcentage of Antibiotics
Prescribed |
in relationship to total
prescriptions received |
in three Municipalities in Havana
City |
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TOTAL NUMBER |
|
ANTIBIOTICS |
|
|
MUNICIPALITY |
|
OF |
|
PRESCRIPTIONS |
|
% |
|
|
PRESCRIPTIONS |
|
|
|
|
|
|
|
|
|
|
|
MARIANAO |
|
9830 |
|
1630 |
|
16,5 |
CERRO |
|
8229 |
|
1038 |
|
12,61 |
GUANABACOA |
|
11637 |
|
1593 |
|
13,6 |
|
|
|
|
|
|
|
TOTAL |
|
29696 |
|
4261 |
|
14,34 |
|
|
|
|
|
|
|
Source: study |
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- Diagnoses leading to Antibiotic Prescription in three
Municipalites of Havana City
|
MARIANAO |
CERRO |
GUANABACOA |
TOTAL |
DIAGNOSIS |
No |
% |
No |
% |
No |
% |
No |
% |
|
|
|
|
|
|
|
|
|
1.Urinary Tract
Infection |
339 |
20.8 |
195 |
18.8 |
228 |
14.3 |
762 |
17.9 |
2. Pharyngits &
tonsillitis |
270 |
16.5 |
180 |
17.3 |
258 |
16.2 |
708 |
16.8 |
3.Teeth abscess |
194 |
11.9 |
95 |
9.2 |
85 |
5.3 |
374 |
8.8 |
4. No Diagnosis |
168 |
10.3 |
113 |
10.8 |
470 |
29.5 |
751 |
17.3 |
5. Acute resp.
Infection |
108 |
6.6 |
64 |
6.2 |
38 |
2.4 |
210 |
4.9 |
6. Giardiasis |
77 |
4.7 |
41 |
3.9 |
35 |
2.1 |
153 |
3.7 |
7. Ilegible
diagnosis |
73 |
4.4 |
0 |
0 |
45 |
2.8 |
118 |
2.8 |
8. Vaginitis |
70 |
4.3 |
20 |
1.9 |
5 |
0.7 |
95 |
2.3 |
9. Lynmphangitis
(Celulitis) |
74 |
4.5 |
66 |
6.4 |
42 |
2.6 |
182 |
4.4 |
10. Neumonia |
67 |
4.12 |
59 |
5.7 |
38 |
2.4 |
164 |
3.8 |
11. Bronchitis |
41 |
2.52 |
37 |
3.5 |
59 |
3.7 |
137 |
3.2 |
12. Skin infection |
50 |
3.06 |
22 |
2.2 |
35 |
2.1 |
107 |
2.6 |
13. Amebiasis |
24 |
1.5 |
66 |
6.4 |
37 |
2.3 |
127 |
2.9 |
14. Other |
75 |
4.8 |
80 |
7.7 |
218 |
13.6 |
373 |
8.6 |
TOTAL |
1630 |
100 |
1038 |
100 |
1593 |
100 |
4261 |
100 |
- Antibiotic Prescription in three Municipalities of Havana City
in PHC
|
MARIANAO |
CERRO |
GUANABACOA |
TOTAL |
ANTIBIOTICS |
No |
% |
No |
% |
No |
% |
No |
% |
|
|
|
|
|
|
|
|
|
1.Sulfamethoxazole/trimethoprim |
587 |
36 |
336 |
32.4 |
459 |
47.6 |
1382 |
32.5 |
2. Tetracycline |
472 |
29 |
303 |
29.2 |
396 |
24.9 |
1171 |
27.5 |
3. Penicillin G Procaine |
239 |
14.7 |
188 |
18.1 |
325 |
20.4 |
752 |
17.6 |
4. Metronidazole |
194 |
12 |
149 |
14.3 |
100 |
6.3 |
443 |
10.4 |
5. Chloramphenicol |
61 |
3.7 |
5 |
0.5 |
76 |
4.8 |
142 |
3.33 |
6. Tinidazol |
45 |
2.8 |
9 |
0.9 |
58 |
3.5 |
112 |
2.62 |
7. Erythromycin |
4 |
0.2 |
0 |
0 |
89 |
5.6 |
93 |
2.18 |
8. Nitrofurantoina |
2 |
0.1 |
8 |
0.7 |
38 |
2.4 |
48 |
1.12 |
9. Penicillin G benzathine |
12 |
0.7 |
9 |
0.9 |
23 |
1.4 |
44 |
1.25 |
10. Penicillin G sodium |
14 |
0.8 |
3 |
0.3 |
22 |
1.3 |
39 |
0.9 |
11. Acido Nalidixico |
0 |
0 |
26 |
2.1 |
0 |
0 |
26 |
0.6 |
12. Gentamicin |
0 |
0 |
0 |
0 |
6 |
0.4 |
6 |
0.14 |
13. Cephalosporins |
0 |
0 |
2 |
0.2 |
0 |
0 |
2 |
0.04 |
14. Amoxicillin |
0 |
0 |
0 |
0 |
1 |
0.06 |
1 |
0.02 |
- Medical specialties prescribing Antibiotics in PHC
|
MARIANAO |
CERRO |
GUANABACOA |
TOTAL |
|
SPECIALITY |
No |
% |
No |
% |
No |
% |
No |
% |
|
|
|
|
|
|
|
|
|
|
|
Family Physican |
1541 |
94.5 |
984 |
94.7 |
1311 |
82.3 |
3836 |
90.02 |
|
Internal Medicine |
5 |
0.3 |
1 |
0.1 |
45 |
2.8 |
51 |
90.02 |
|
Pediatrician |
3 |
0.2 |
18 |
1.7 |
36 |
2.25 |
57 |
1.19 |
|
Dentistry |
47 |
2.7 |
13 |
1.3 |
90 |
5.6 |
150 |
1.34 |
|
Urology |
7 |
0.5 |
1 |
0.1 |
1 |
0.06 |
9 |
3.53 |
|
Surgery |
2 |
0.1 |
0 |
0 |
2 |
0.12 |
4 |
0.22 |
|
Gynecology |
1 |
0.05 |
8 |
0.8 |
7 |
0.43 |
16 |
0.09 |
|
Dermatology |
7 |
0.5 |
2 |
0.2 |
1 |
0.06 |
10 |
0.38 |
|
ENT |
1 |
0.05 |
0 |
0 |
0 |
0 |
1 |
0.24 |
|
Ortopedics |
0 |
0 |
3 |
0.3 |
0 |
0 |
3 |
0.02 |
|
Ophtalmology |
0 |
0 |
1 |
0.1 |
5 |
0.31 |
6 |
0.07 |
|
Others |
14 |
0.8 |
7 |
0.7 |
35 |
2.1 |
56 |
0.14 |
|
Unknown |
2 |
0.1 |
0 |
0 |
60 |
3.7 |
62 |
1.31 |
|
TOTAL |
1630 |
100 |
1038 |
100 |
1593 |
100 |
4261 |
1.45 |
|
- OVERALL ASSESSMENT of ANTIBIOTIC PRESCRIPTION
- PRESCRIPTION ASSESSMENT by ANTIBIOTIC
|
ADEQUATE |
INADEQUATE |
INAD. No Availbility |
Not assessed |
ANTIBIOTICS |
NO |
% |
NO |
% |
NO |
% |
NO |
% |
|
|
|
|
|
|
|
|
|
1. Penicillin G procaine |
371 |
27.2 |
24 |
4.8 |
0 |
0 |
118 |
17.4 |
2. Penicillin G benzathine |
20 |
1.5 |
4 |
0.8 |
0 |
0 |
8 |
1.2 |
3. Penicilina G sodium |
13 |
0.9 |
1 |
0.2 |
2 |
2.2 |
9 |
1.3 |
4. Gentamicine |
0 |
0 |
4 |
0.8 |
0 |
0 |
2 |
0.3 |
5. Tetracycline |
237 |
17.4 |
246 |
49.2 |
77 |
82.7 |
139 |
20.6 |
6. Erythromycine |
52 |
3.8 |
10 |
2 |
0 |
0 |
27 |
3.9 |
7.Sulfamethoxazole/trimethoprim |
403 |
29.6 |
138 |
27.6 |
14 |
15.1 |
240 |
35.5 |
8. Chloramphenicol |
0 |
0 |
54 |
10.8 |
0 |
0 |
27 |
3.9 |
9. Cephalosporins |
0 |
0 |
2 |
0.4 |
0 |
0 |
0 |
0 |
10. Acido Nalidixico |
14 |
1.03 |
1 |
0.2 |
0 |
0 |
11 |
1.6 |
11. Nitrofurantoina |
28 |
2.1 |
2 |
0.4 |
0 |
0 |
16 |
2.4 |
12. Metronidazole |
171 |
12.6 |
13 |
2.6 |
0 |
0 |
65 |
9.7 |
13. Tinidazol |
51 |
3.7 |
1 |
0.2 |
0 |
0 |
15 |
22 |
14. Amoxicillin |
1 |
0.07 |
0 |
0 |
0 |
0 |
0 |
0 |
TOTAL |
1361 |
100 |
500 |
100 |
93 |
100 |
677 |
100 |
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