Intervención farmacéutica ante la demanda y dispensación de antibióticos en una farmacia comunitaria

  1. CODESAL FIDALGO, Marina 1
  2. MARTÍN SUÁREZ, Ana María 1
  3. CODESAL GERVÁS, Tomas 1
  1. 1 Departamento de Ciencias Farmacéuticas. Facultad de Farmacia. Campus Miguel de Unamuno, 37007 Salamanca.
Journal:
Farmajournal

ISSN: 2445-1355

Year of publication: 2018

Volume: 3

Issue: 2

Pages: 105-114

Type: Article

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Abstract

The Community Pharmacists must cooperate guaranteeing the adequate use of antibiotics and in this way avoid the emergence of antimicrobial resistance, which poses a serious sanitary problem.The pharmaceutical intervention in response to the demand for antibiotics for oral administration is studied through private medical prescription, irregular prescription and self-medication, by means of an observational study adopting the SEFAC methodology.132 users were included. 80% presented a private prescription and 35% did not comply with current regulations. Self-medication was not dispensed (17%), nor 5 irregular prescriptions, 77% of them being referred to the doctor. In minor disorders, hygienic-dietetic measures or over-the-counter medications were suggested. The main indications were odontogenic, respiratory and urinary infections. The most demanded antibiotics were betalactamics. Although three out of four patients knew the indication, regimen and duration of treatment, only one in ten adverse effects, contraindications or interactions. PRM was detected in 30% of the cases and in 25% risk of occurrence of RNM was detected.With a protocolized action, it has been possible to supply health education and information in the use of the antibiotic, avoid unnecessary use, refer the doctor when it was convenient and improve the safety and effectiveness of the treatments. 

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