Grado de conocimiento del antibiótico prescrito en pacientes ambulatorios / Level of knowledge of antibiotics prescribed in outpatients

INTRODUCCIÓN: El escaso conocimiento de los pacientes sobre sus medicamentos es considerado una de las principales causas de su uso inadecuado. OBJETIVO: El presente estudio mide el grado de conocimiento de los pacientes sobre el antibiótico prescrito y describe algunos de los factores asociados al mismo. DISEÑO: Estudio observacional descriptivo transversal con componente analítico. Emplazamiento: Se realizó en una farmacia comunitaria de Murcia. MÉTODO: El estudio se ofertó a todos los pacientes que acudían a la farmacia a retirar un antibiótico durante el periodo de estudio. El instrumento usado para determinar el grado de conocimiento fue un cuestionario validado. RESULTADOS: Se incluyeron 126 pacientes, la mayoría eran mujeres (67,5%), con una media de edad de 44,6 años (DE: 17,9, mín.41,5, máx.47,8). La mitad de la población de estudio, 53,2% (IC 95%, 44,06-62,28) no tenía un conocimiento que le permitiera asegurar un correcto proceso de uso del antibiótico que utilizaba. El «proceso de uso» del medicamento fue la dimensión más conocida por la población, seguida del «objetivo terapéutico». La dimensión relacionada con la «seguridad» del medicamento fue la que obtuvo valores más bajos. Tras la regresión logística, se encontró asociación entre el conocimiento del antibiótico y las variables «conoce nombre del antibiótico» (p = 0,05; r = 2,15) y «número de medicamentos que toma el paciente» (p = 0,02; r = 0,30). CONCLUSIONES: Los resultados obtenidos ponen de manifiesto que existen ciertas carencias de información respecto al uso de antibióticos en la muestra estudiada. Estos resultados podrían permitir orientar futuras intervenciones, dirigidas a cubrir las necesidades de información concretas detectadas

INTRODUCTION: The lack of patient knowledge about their medication is considered to be one of the main reasons for an inappropriate use. OBJECTIVE: This study the level of knowledge in patients about their prescribed antibiotic, and describes some of the factors related to this. DESIGN: A cross-sectional, descriptive and observational study with an analytical component. Site: A community pharmacy in Murcia. METHODS: The study form was offered to all customers who arrived to obtain antibiotics while the study was taking place. A validated form was used to determined the level of knowledge was a validated form. RESULTS: A total of 126 patients, most of them women, with an average age of 44.6 years were included. Half of the study population had no knowledge which could ensure the correct use of the antibiotic they were taking. The «process of use» of the medication was the best known dimension by the study population, followed by the «therapeutic aim». The dimension related to the «safety» of the medication was the one with the lowest values. After a logistic regression, a link between the knowledge of the antibiotic and the «know the name of the antibiotic» (p = .05; r = 2.15) and the «number of antibiotic the patient takes» (p = .02; r = 0.30) variables. CONCLUSIONS: The results show that there is a certain lack of information on the use of antibiotics by the study sample. Thes results could help to show the way to follow in future studies, targeted to meet the need of information

[Level of knowledge of antibiotics prescribed in outpatients]. / Grado de conocimiento del antibiótico prescrito en pacientes ambulatorios.

INTRODUCTION: The lack of patient knowledge about their medication is considered to be one of the main reasons for an inappropriate use. OBJECTIVE: This study the level of knowledge in patients about their prescribed antibiotic, and describes some of the factors related to this. DESIGN: A cross-sectional, descriptive and observational study with an analytical component. SITE: A community pharmacy in Murcia. METHODS: The study form was offered to all customers who arrived to obtain antibiotics while the study was taking place. A validated form was used to determined the level of knowledge was a validated form. RESULTS: A total of 126 patients, most of them women, with an average age of 44.6 years were included. Half of the study population had no knowledge which could ensure the correct use of the antibiotic they were taking. The «process of use¼ of the medication was the best known dimension by the study population, followed by the «therapeutic aim¼. The dimension related to the «safety¼ of the medication was the one with the lowest values. After a logistic regression, a link between the knowledge of the antibiotic and the «know the name of the antibiotic¼ (p=.05; r=2.15) and the «number of antibiotic the patient takes¼ (p=.02; r=0.30) variables. CONCLUSIONS: The results show that there is a certain lack of information on the use of antibiotics by the study sample. Thes results could help to show the way to follow in future studies, targeted to meet the need of information.

The effect of an educational intervention to improve patient antibiotic adherence during dispensing in a community pharmacy / Efecto de una intervención educativa para mejorar la adherencia de los pacientes al tratamiento antibiótico durante la dispensación en una farmacia comunitaria

OBJETIVO: Evaluar la efectividad de la intervención educativa en la adherencia al tratamiento con antibióticos y en la evolución de los síntomas referidos por el paciente. DISEÑO: Estudio experimental controlado con asignación sistemática. Emplazamiento: farmacia comunitaria en Murcia. Participantes: pacientes que acudieron a la farmacia con una receta de antibiótico. Intervención: Aportar información sobre las características del tratamiento (duración, pauta y forma de utilización) y la correcta adherencia. En el grupo Control se procedió a una venta habitual. Mediciones principales: se evaluaron la «adherencia al tratamiento» y la «percepción de salud» a la semana de la dispensación mediante entrevista telefónica. RESULTADOS: Finalizaron el estudio 126 pacientes: 62 en el Grupo Control (GC) y 64 en el Grupo Intervención (GI). No hubo diferencias entre grupos en las características basales, incluido el nivel de conocimientos previo a la intervención. Tras la intervención, la adherencia al tratamiento en el GC fue del 48,4% (IC 95%: 36,4-60,6) frente al 67,2% (IC 95%: 55,0-77,4) del GI, siendo esta diferencia del 18,8% (p = 0,033; IC 95%: 15,8-34,6;). La falta de adherencia fue de más de una toma en el 81,2% GC vs el 38,1% GI, diferencia del 43,1% (p = 0,001; IC 95%: 16,4-63,1%). En la percepción de salud del paciente no se encontraron diferencias. La regresión logística mostró como predictor de adherencia el conocimiento de la medicación y la coincidencia entre la duración del tratamiento indicado por el médico y la duración del envase prescrito en la receta. CONCLUSIONES: Una intervención educativa durante la dispensación del antibiótico mejora la adherencia al tratamiento frente a una atención habitual

OBJECTIVE: To assess the effectiveness of an educational intervention on antibiotic adherence and patient-reported resolution of symptoms. DESIGN: A controlled experimental study with systematic assignment to groups. Setting: A pharmacy in Murcia. Participants were patients who came to the pharmacy with a prescription for antibiotics. Intervention provided information on treatment characteristics (duration, dose and method of use) and correct compliance. A control group received routine care. Main variables "treatment adherence" and "perceived health" were evaluated one week after dispensation by telephone interview. RESULTS: A total of 126 patients completed the study, 62 in the Control Group (CG) and 64 in the Intervention Group (IG). There were no differences between the groups in baseline characteristics, including the level of knowledge before the intervention. At the end of the study, treatment adherence in the CG was 48.4% (CI: 36.4-60.6), compared with 67.2% (CI: 55.0-77.4) in the IG. The difference of 18.8% was statistically significant (p = 0.033; 95% CI = 15.8-34.6). Non-compliance through missing more than one dose was 81.2% in the CG versus 38.1% in the IG, which is a statistically significant difference of 43.1% (p = 0.001; 95% CI = 16.4-63.1%). No significant differences were found in patient-perceived health. Logistic regression showed as predictor of adherence, the medication knowledge and the coincidence between duration of treatment indicated by physician and duration of treatment written in the prescription. CONCLUSIONS: An educational intervention during antibiotic dispensation improves treatment adherence versus routine care

Resultados negativos asociados a la medicación que son causa de visita al servicio de urgencias de un centro de atención primaria / Pharmacotherapy negative outcomes resulting in Primary Care Emergency visits

Objetivo: Analizar la prevalencia de los resultados negativos asociados a la medicación (RNM) que son causa de consulta en un servicio de urgencias de atención primaria (SUAP) en un entorno rural. Determinar la evitabilidad y la gravedad de los mismos. Diseño: Estudio observacional descriptivo transversal. Emplazamiento: SUAP de Mula. Murcia. Participantes: Un total de 330 pacientes, en un periodo de 33 semanas. Mediciones principales: Número y tipo de RNM: el farmacéutico, a través de los datos obtenidos de un cuestionario validado y la historia clínica, evaluó si existía relación entre los medicamentos que toma el paciente y el motivo de acudir a urgencias. En caso de sospecha de RNM se reevaluaba con el médico y se confirmaban o no los RNM identificados. Resultados: De los 330 pacientes fueron evaluables 317. La media de edad de los pacientes era de 39,63 años y el 51,42% eran mujeres. La media de medicamentos que utilizaban fue de 1,38. Se detectaron un 26,50% (IC 95% 21,94-31,62) de pacientes con RNM como causa de visita a urgencias. El 53,57% de los RNM detectados fue de la categoría de efectividad y el 40,48% de necesidad. El 77,41% (IC-95% 67,35-85,01) de las visitas causadas por RNM fueron evitables. En cuanto a la gravedad, el 92,986% de los RNM eran leves. Conclusiones: Una de cada 4 visitas al SUAP de Mula está causada por un RNM y, de ellas, el 77,41% son evitables(AU()

Objective: Our aim was to estimate the prevalence of Pharmacotherapy negative outcomes in Primary Care Emergency visits in a rural environment, and to determine their preventability and severity. Design: Descriptive study with an analytical component. Site: Primary Care Emergency Service (SUAP), Mula Murcia. Patients: The study consisted of 330 patients over a 33 week period. Method: Number and type of Pharmacotherapy negative outcomes: Pharmacist through the data, a validated questionnaire and medical history, assessing whether there was a relationship between the medications and the patient, and the reason for going to the Primary Care Emergency. In case of suspicion of Pharmacotherapy negative outcomes the patient is reassessed by the doctor, and the Pharmacotherapy negative outcomes confirmed or not identified. Results: Of the 330 patients, 317 were evaluable. The mean age of patients was 39.63 years and 51.42% were women. The mean number of drugs used was 1.38, and 26.50% (95% CI, 21.94% -31.62%) patients were detected with Pharmacotherapy negative outcomes as a cause of visiting the Primary Care Emergency. 53.57% of the detected Pharmacotherapy negative outcomes detected as regards efficacy was 53.75%, 40.48% as regards need. More than three-quarters (77.41%; 95% CI, 67.35% -85.01%) of emergency visits caused by Pharmacotherapy negative outcomes were avoidable. In terms of severity, 92.86% of the Pharmacotherapy negative outcomes were mild. Conclusions: One in four Mula SUAP visits are due to a Pharmacotherapy negative outcomes, and 77.41% of them are preventable(AU)

[Pharmacotherapy negative outcomes resulting in Primary Care Emergency visits]. / Resultados negativos asociados a la medicación que son causa de visita al servicio de urgencias de un centro de atención primaria.

OBJECTIVE: Our aim was to estimate the prevalence of Pharmacotherapy negative outcomes in Primary Care Emergency visits in a rural environment, and to determine their preventability and severity. DESIGN: Descriptive study with an analytical component. SITE: Primary Care Emergency Service (SUAP), Mula. Murcia. PATIENTS: The study consisted of 330 patients over a 33 week period. METHOD: Number and type of Pharmacotherapy negative outcomes: Pharmacist through the data, a validated questionnaire and medical history, assessing whether there was a relationship between the medications and the patient, and the reason for going to the Primary Care Emergency. In case of suspicion of Pharmacotherapy negative outcomes the patient is reassessed by the doctor, and the Pharmacotherapy negative outcomes confirmed or not identified. RESULTS: Of the 330 patients, 317 were evaluable. The mean age of patients was 39.63 years and 51.42% were women. The mean number of drugs used was 1.38, and 26.50% (95% CI, 21.94% -31.62%) patients were detected with Pharmacotherapy negative outcomes as a cause of visiting the Primary Care Emergency. 53.57% of the detected Pharmacotherapy negative outcomes detected as regards efficacy was 53.75%, 40.48% as regards need. More than three-quarters (77.41%; 95% CI, 67.35% -85.01%) of emergency visits caused by Pharmacotherapy negative outcomes were avoidable. In terms of severity, 92.86% of the Pharmacotherapy negative outcomes were mild. CONCLUSIONS: One in four Mula SUAP visits are due to a Pharmacotherapy negative outcomes, and 77.41% of them are preventable.