Uso y manejo de antimicrobianos en pacientes ingresados al área de emergencia del Hospital General Isidro Ayora de Loja

Abstract

The increase in bacterial resistance can be attributed to the non-rational prescription of antibiotics, including unnecessary prescription, self-medication, and inappropriate use of antibiotics. The objective of this work was to perform the analysis on the use and management of antimicrobials in the emergency area of the General Hospital Isidro Ayora de Loja, besides being able to contribute with relevant data for further study. The percentage of patients who received antimicrobial therapy was 208 (31.85%) in a population of 651 individuals corresponding to 100% of the sampled population, the most frequent diagnosis of anitimicrobial prescription with 45% was pneumonia. The most commonly used drugs in monotherapy is ampicillin + sulbactam (IV) with 65.6%, in combination therapy ampicillin + sulbactam (IV) is used in combination with clarithromycin (IV) 45.34% and ampicillin + sulbactam (IV) with Clindamycin (IV) prescribed 10.48%, the remaining percentage corresponds to varied combinations of antimicrobial treatments. Within the conclusions it was determined that there was a correct prescription of antimicrobials in the HGIAL thanks to the participation of health personnel, the most widely used antimicrobial is ampicillin + sulbactam.