Avaliação de prescrições de antimicrobianos em unidades básicas de saúde de um município do seridó potiguar

Abstract

Antimicrobials are among the most commonly consumed drugs in primary care, however, prescriptions occur in a non-compliant way, jeopardizing the patient's safety, and may generate clinical and economic impacts. The present study aimed to evaluate antimicrobial prescriptions of all basic health units of Caicó-RN. It is a retrospective, descriptive, exploratory study with a quantitative approach. A total of 1046 antimicrobials prescriptions prepared during the year 2016 were analyzed and stored in the pharmacies of these basic health units of Caicó-RN. All 1046 prescriptions (100%) were not in compliance with the legislation. The most frequent non-compliant items were the absence of the stamp and the signature of the pharmacist attesting to the dispensation (100%), user group (96.5%), user age (96.5%), duration of treatment (40.8%), administration route (35.7%), information that allows contacting the prescriber (20.1%) and concentration (17.0%). The most prescribed antimicrobials were penicillins with extended spectrum 347 (31.5%), macrolides 218 (19.8%) and first generation cephalosporins 185 (16.8%). The study showed the need to institute measures to sensitize prescribers about the importance of a clear prescription and without absence of fundamental items so that one can print safety in the use of the medicine.