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Advisor(s)
Abstract(s)
RESUMO
Introdução: A descoberta da penicilina, no final da década
de 1920, revolucionou a ciência e trouxe a medicina para a era
moderna. Desde então, muitos outros antibióticos surgiram no
mercado. Atualmente, um dos maiores problemas da medicina
é o uso indiscriminado dos antibióticos e, consequentemente o
surgimento de bactérias resistentes. Neste contexto, a utilização
adequada dos antibióticos é fundamental para a manutenção da
sua própria eficácia.
Não existem muitos estudos sobre a prescrição antibiótica
nos Serviços de Urgência de Pediatria do nosso país.
Objetivo: Caracterizar a prescrição de antibióticos orais no
Serviço de Urgência Pediátrico de um hospital nível II da região
centro.
Material e Métodos: Estudo descritivo e retrospetivo. Foi
realizada a análise dos registos médicos da base informática
Alert® das crianças que recorreram ao Serviço de Urgência Pediátrico num dia por mês escolhido aleatoriamente (num total de
30 dias), de Janeiro de 2008 a Junho de 2010.
Resultados: No período em estudo, foram observadas no
Serviço de Urgência Pediátrico 4317 crianças (média de 144
crianças/dia). Foram prescritos antibióticos orais em 400 crianças (9,3%). A amoxicilina foi o antibiótico mais prescrito e a otite
média aguda foi o diagnóstico mais frequente.
Conclusões: Concluímos haver uma boa ponderação na
prescrição de antibióticos orais no Serviço de Urgência Pediátrico do nosso hospital. Propomos algumas atitudes para melhorar
essa prescrição.
ABSTRACT Introduction: The discovery of penicillin, in the late 1920s, revolutionized science and brought medicine into the modern era. Since then, many other antibiotics appeared on the market. Nowadays, one of the biggest problems in medicine is the indiscriminated use of antibiotics, which has led to the emergence of resistant bacteria. In this context, an appropriate use of antibiotics is essential to the maintenance of their own effectiveness. There are very few studies on antibiotic prescription from Paediatric Emergency Services in Portugal. Objective: Characterize oral antibiotics prescription in our Paediatric Emergency Service Unit. Material and Methods: We performed a retrospective analysis of medical records from Alert ® computer database of children who attended the Paediatric Emergency Service Unit a randomly chosen day a month (a total of 30 days), from January 2008 to June 2010. Results: During the study period, 4317 children (meaning 144 children/day) were observed in the Paediatric Emergency Service Unit. Oral antibiotics were prescribed to 400 children (9,3%). The amoxicillin was the most prescribed antibiotic and acute otitis media was the most common diagnosis. Discussion: We concluded that there is a good balance in the prescription of oral antibiotics in our Paediatric Emergency Service Unit. Nonetheless, we propose some actions to improve oral antibiotic prescription.
ABSTRACT Introduction: The discovery of penicillin, in the late 1920s, revolutionized science and brought medicine into the modern era. Since then, many other antibiotics appeared on the market. Nowadays, one of the biggest problems in medicine is the indiscriminated use of antibiotics, which has led to the emergence of resistant bacteria. In this context, an appropriate use of antibiotics is essential to the maintenance of their own effectiveness. There are very few studies on antibiotic prescription from Paediatric Emergency Services in Portugal. Objective: Characterize oral antibiotics prescription in our Paediatric Emergency Service Unit. Material and Methods: We performed a retrospective analysis of medical records from Alert ® computer database of children who attended the Paediatric Emergency Service Unit a randomly chosen day a month (a total of 30 days), from January 2008 to June 2010. Results: During the study period, 4317 children (meaning 144 children/day) were observed in the Paediatric Emergency Service Unit. Oral antibiotics were prescribed to 400 children (9,3%). The amoxicillin was the most prescribed antibiotic and acute otitis media was the most common diagnosis. Discussion: We concluded that there is a good balance in the prescription of oral antibiotics in our Paediatric Emergency Service Unit. Nonetheless, we propose some actions to improve oral antibiotic prescription.
Description
Keywords
Antibióticos pediatria prescrição serviço de urgência Antibiotics emergency department service pediatrics prescription
Citation
Nascer e Crescer 2013; 22(4): 216-219