Factores que determinan el uso de antibióticos en la consulta externa del Hospital "José Carrasco Artega". Cuenca, 2013

Abstract

Objective. To determine the prevalence of the factors that influence antibiotic prescribing by specialists working in the outpatient Hospital José Carrasco Arteaga, Cuenca, 2013. Material and methods. With a cross-sectional data collected from 74 specialties who provide outpatient José Carrasco Arteaga Hospital of the city of Cuenca. We analyzed age and experience of specialists and identified the factors that influence the use of antibiotics. Results. The 67.6% of specialists prescribe to their patients in the outpatient antibiotics, some experts do not (P = 0.003). The 62% of participating physicians is between 31-45 years old. The average age for the sample was 43.16 ± 9.6 years. The average professional experience was 17.3 ± 10.7 years, from a minimum of 3 and a maximum of 39. The factors influencing its use are: a) the validity of clinical guidelines that ensure effectiveness of an antibiotic on a group of germs (54%), b) empowering diagnostic uncertainty immediately use an antibiotic to prevent infection uncontrollable (46%), c) the goodness of broad-spectrum antibiotics (38%) and d) the acceptance by the medical community of antibiotic prophylaxis (28%). Conclussion. The evidence for widespread antibiotic not from clinical research seem very rational though, the trend remains supported by clinical intuition. National study is needed to identify factors that influence our practice natives