Diseño de un protocolo de dispensación activa para antibióticos en el servicio de consulta externa de la Farmacia del Hospital Gíneco Obstétrico Pediátrico de Nueva Aurora “Luz Elena Arismendi” en la ciudad de Quito.

Abstract

The study aimed to design an active dispensing protocol for antibiotics in the outpatient service of the pharmacy of the New Aurora Pediatric Obstetric Hospital “Luz Elena Arismendi” (HGONA) in the city of Quito, for which the methodology used It was observational field, prospective during the period April-June 2019, it was carried out in two phases; the first was the determination of the current conditions of dispensing antibiotics in the HGNOA pharmacy and the second the analysis of mediation errors found in prescriptions prescribed with antimicrobial therapy, for the data collection a checklist and surveys were applied the same ones that were validated by professionals of each institution according to parameters of reliability, validity and objectivity. The results obtained show that the auxiliary pharmacy staff does not meet the correct active dispensing (AD), which may be due to work overload and the absence of the Pharmaceutical Biochemist, therefore, the information that the patient receives is incomplete, which It can cause the lack of adherence to the treatment and favor the bacterial resistance, of 442 analyzed recipes 52.7% present medication errors, the most frequent being that the ICD-10 does not justify the use of the antibiotic. As a possible solution, the Active Dispensing Protocol for antibiotics was developed. It is concluded that according to the results, the rational use of antibiotics is not encouraged, which makes it difficult to meet the therapeutic objective. It is recommended to implement the protocol and conduct training in the hospital aimed at auxiliary pharmacy personnel on good practices for dispensing medications and especially antibiotics.