Abstract

LARA BASTANZURI, María Cristina; CIRES PUJOL, Miriam  and  GARCIA MILIAM, Ana Julia. Consumo de antimicrobianos en APS. Rev Cubana Med Gen Integr [online]. 2003, vol.19, n.4. ISSN 0864-2125.

With the objective of describing the pattern of drug use in antimicrobial-based treatment in the primary health care in Cuba from 1989 to 2000, we designed a retrospective descriptive and observational study, classified into the study of drug use as consumption. To this end, the daily doses of certain drugs from the ATC-classified groups were calculated, which included tetracycline, amphenicols, broad spectrum penicilins, cephalosporins, sulfonamides, trimethoprim, macrolides, streptomycin and quinolones. Also, the number of patients registered as benzathine peniciline consumers was taken and compared to the exposed population data obtained from the DHD. Penicillins are the most consumed drugs, with a rising tendency together with aminoglycosides whereas tetracycline showed higher DHD values. The consumption of chloramphenicol tends to decrease. The amount of exposed population is much lower than the number of patients registered as benzathine penicillin consumers and the tendency lines are not similar. Except for doxycilline, the rest of recommended antimicrobials in the Therapeutical Guide for Primary Health Care are included in the Basic Drug List of the country for the primary health care.

Keywords : ANTIBIOTICS [economics]; ANTIBIOTICS [therapeutic use]; COMMUNICABLE DISEASES [drug therapy]; DRUG USE HABITS; PRESCRIPTION, DRUG; PRIMARY HEALTH CARE; SELF MEDICATION; PHARMACOEPIDEMIOLOGY.