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15.
Managua; Nicaragua. Ministerio de Salud; dic. 1997. 37 p. tab.(Serie Farmacoterapéutica, 3).
Monografia em Espanhol | PAHO | ID: pah-26478
18.
Artigo em Inglês | PAHO | ID: pah-22632

RESUMO

Acute respiratory infections (ARI), the leading class of ailments causing people to seek health care, rarely require antibiotics. Nevertheless, many phisycians prescribe them needlessly. Hence, reducing the unnecessary use of antibiotics is one aim of any ARI control program. To help determine whether this aim might be achieved through a combination of refresher training for family phisycians and public education campaing, two 1991 interventions were carried out in four health areas (designated A, B, C and D) in the city of Habana, Cuba. In each area, 10 clinics staffed by family physicians were selected through simple random sampling. In two areas (A and B), a refresher training program on ARI for health personnel was instituted at each clinic, while in areas A and C a community education program was set up. No intervention was carried out in area D. Simultaneously, from January through Dicembre 1991 trained individuals visited and administered a standard questionnaire every 15 days to 1 600 families (40 per clinic) systematically selected by random sampling. The aim of this procedure was to record the number of ARI episodes ocurring among children under 5 years old, the treatment chosen in these cases, and whether antibiotics were employed. The results showed that when the two interventions were iniciated, antibiotics were prescribed for 26 per cent, 20 per cent, 11 per cent, and 19 per cent of the mild ARI cases occurring in areas A,B,C and D respectively (P 0.05). In the period immediately following the interventions, antibiotics prescription rates declined by 26 per cent and 63 per cent in areas A and B, while increasing by 2 per cent and 48 per cent in areas C and D. Overall, prescription of antibiotics in the intervention areas A and B combined decreased by 54 per cent (95 per cent CI: 31-69 per cent). These data suggest that a refresher training program for health personnel can rapidly reduce the unnecessary prescribing of antibiotics for ARI cases, but that public education alone does not appear effective


Assuntos
Infecções Respiratórias/tratamento farmacológico , Prescrições de Medicamentos , Antibacterianos/terapia , Cuba
19.
Artigo em Espanhol | PAHO | ID: pah-21744

RESUMO

Las infecciones respiratorias agudas (IRA), que son la primera causa de atención en los servicios de salud, pocas veces requieren antibióticos. No obstante, muchos médicos los recetan sin necesidad. Reducir el uso innecesario de antibióticos es, por consiguiente, uno de los objetivos de todo programa de control de las IRA. Con el fin de determinar si este objetivo podía lograrse mediante la recapacitación de médicos de familia y la educación del público, en 1991 se llevaron a cabo dos intervenciones en cuatro áreas de salud- denominadas A,B,C, y D- de la Ciudad de la Habana, Cuba. Por muestreo aleatorio simple se escogieron en cada área 10 consultorios atendidos por médicos de familia. En las áreas A y B se puso en marcha en cada consultorio un programa de recapacitación sobre las IRA para el personal de salud, y en las áreas A y C un programa de educación comunitaria. En el área D no hubo ninguna intervención. Simultáneamente, de enero a diciembre de 1991 personas entrenadas visitaron y les aplicaron cada 15 días un cuestionario estándar a 1600 familias (40 por cada consultorio) elegidas por muestreo aleatorio sistemático. El objeto fue investigar el número de episodios de IRA en niños menores de 5 años, el tratamiento adoptado y el uso de antibióticos. Los resultados revelaron que en el momento de iniciarse las dos intervenciones, la prescripción de antibióticos para casos de IRA leves en las áreas A,B,C y D era de 26,20,11, y 19 por ciento respectivamente (P0.05) (AU)


Assuntos
Infecções Respiratórias/terapia , Prescrições de Medicamentos , Antibacterianos/terapia , Cuba
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