Uso controlado de antibióticos ayuda en la disminución de la resistencia bacteriana en una institución de cuarto nivel de complejidad (2004-2012)
Palabras clave:
Control de antibióticos, resistencia bacteriana, prescripción antibiótica, Antibiotic control, antimicrobial resistance, antibiotic prescriptionsResumen
RESUMEN
El uso excesivo o indiscriminado de antibióticos va de la mano con la aparición de resistencia bacteriana. Objetivo: Confirmar si el control de la prescripción diaria de antibióticos contribuye a disminuir la resistencia bacteriana. Métodos: Estudio descriptivo, trasversal, del control de la prescripción diaria de antibióticos. Durante los años 2004 a 2007 (primer periodo) y 2008 a 2011 (segundo periodo). Diariamente se evaluó la prescripción de antibióticos de control institucional y se compararon semestralmente cada año sus resultados, con el reporte de resistencia en bacterias bajo vigilancia epidemiológica. Resultados: Los resultados obtenidos con el control diario de las prescripciones de antibióticos durante el estudio evidencian que controlar antibióticos ayuda a disminuir la resistencia bacteriana, en el periodo 2004-2007. La falta de adherencia a las políticas institucionales de control de las prescripciones de antibióticos, evidenció en el estudio aumento de la resistencia bacteriana, en el periodo 2008-2010. Comentario: Controlar institucionalmente antibióticos contribuye a disminuir la resistencia bacteriana o aumentarla sino se controlan.
Palabras clave: Control de antibióticos, resistencia bacteriana, prescripción antibiótica
CONTROLLED USE OF ANTIBIOTICS HELPS IN REDUCING ANTIMICROBIAL RESISTANCE IN AN INSTITUTION OF FOUR LEVEL OF COMPLEXITY (2004-2012)
Objective: Excessive or indiscriminate use of antibiotics goes hand in hand with the emergence of bacterial resistance. This study aims at checking whether the daily control of antibiotic prescription helps in reducing bacterial resistance. Methods: This is a descriptive, crossed study. During years 2004 to 2007 (fi rst period) and 2008-2011 (second period), daily antibiotic prescribing institutional control was evaluated; yearly comparison of bi-annual semester results with the report of resistance to bacteriae under epidemiologic surveillance was done. Results: The results obtained with daily monitoring of antibiotic prescriptions during the study showed that antibiotics control helped to reduce bacterial resistance (period 2004-2007). Lack of adherence to institutional policies for the control of antibiotic prescriptions evidenced increased bacterial resistance (2008-2010). Comments: Controlling daily institutionally prescribed antibiotics help to reduce bacterial resistance, but loosening the
strategy reverses that trend.
Key words: Antibiotic control, antimicrobial resistance, antibiotic prescriptions
Biografía del autor/a
Rubén Darío Camargo Rubio, Clínica General del Norte
Gisela Olivares, Clínica General del Norte
Nidia Fonseca, Clínica General del Norte
Iván Zuloaga, Clínica General del Norte
Ella Guardo, Clínica General del Norte
Adriana Marín, Clínica General del Norte
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