Estudio del uso racional de antibióticos “betalactámicos” en el servicio de medicina interna del Hospital José María Velasco Ibarra de Tena

Abstract

The present study aimed to evaluate the rational use of beta-lactam antibiotics in the internal medicine service during January - June 2019 at the José María Velasco Ibarra Hospital in Tena. The study was carried out in two phases, in the first one the collection of information through a review in the hospital database, where 892 medical records were collected; considering inclusion and exclusion criteria, 93 accessible medical records were obtained. In addition, an online test made up of questions was applied closed based on scientific evidence on the rational use of beta-lactam antibiotics to assess the knowledge of medical personnel working in the internal medicine service. In the second phase, the data obtained were tabulated in Excel (version 4, 2016) and subsequently entered the statistical program IBM SPSS Statistics 26. The most widely prescribed beta-lactam antibiotics within the internal medicine service were: ceftriaxone (47.9%), ampicillin plus sulbactam (20.2%), ceftazidime (9.2%), piperacillin plus tazobactam (7.6%). It was determined that 93.54% of the prescriptions were not based on protocols of the Ministry of Public Health (MPH). 75% of the medical personnel were evaluated and it was determined that there is a diversity of criteria at the time of a prescription to initiate antibiotic therapy. The majority of respondents 67% answered correctly, while 33% did with mistakes. Based on the study, it is recommended to complement a protocol for the rational use of antibiotics after this to improve the management of resources within the internal medicine service.