Variabilidad de la prescripción de antibióticos en atención primaria de los sectores sanitarios de aragón
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Variabilidad de la prescripción de antibióticos en atención primaria de los sectores sanitarios de aragón. / Lallana Alvarez, MAria Jesus; Bjerrum, Lars.
In: Revista Espanola de Salud Publica, Vol. 86, No. 6, 2012, p. 627-635.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Variabilidad de la prescripción de antibióticos en atención primaria de los sectores sanitarios de aragón
AU - Lallana Alvarez, MAria Jesus
AU - Bjerrum, Lars
PY - 2012
Y1 - 2012
N2 - Background: Resistance to antibacterial drugs can be contained by judicious utilization, so we must know about its use. The objective is to describe the prevalence of antibiotic consumption and the variability in the use of antibiotics among outpatients in the different health areas of Aragon. Methods: Study of the prescription of antibiotics in the health areas of Aragon in 2008. Data were extracted from theAragon Pharmaceutical Consumption Database, a complete register of all dispensed prescriptions. Prescription rates per 1000 individuals adjusted by sex and age were calculated using a direct and indirect standardization method. The subgroups utilization were calculated in Defined Daily Dose per 1000 inhabitants per day (DID). In the variation analysis were used: extremal quotient (EQ), coefficient of variation (CV), weighted coefficient of variation (CVw). Results: The adjusted rate of antibiotic varied between 279,8 and 382 per 1000 inhabitants, showing a CVw=0,12. The utilization rate in women was 364.9 per 1,000 and in men 300.0 per 1,000. Cephalosporins have a EQ=2,42 and CVw=0,37; and quinolones have EQ=1,84 and CVw=0,22. Conclusions: The utilization rate was higher in women than men. The higher variability in the prescription of antibiotics among health areas in Aragon was in cephalosporins and quinolones.
AB - Background: Resistance to antibacterial drugs can be contained by judicious utilization, so we must know about its use. The objective is to describe the prevalence of antibiotic consumption and the variability in the use of antibiotics among outpatients in the different health areas of Aragon. Methods: Study of the prescription of antibiotics in the health areas of Aragon in 2008. Data were extracted from theAragon Pharmaceutical Consumption Database, a complete register of all dispensed prescriptions. Prescription rates per 1000 individuals adjusted by sex and age were calculated using a direct and indirect standardization method. The subgroups utilization were calculated in Defined Daily Dose per 1000 inhabitants per day (DID). In the variation analysis were used: extremal quotient (EQ), coefficient of variation (CV), weighted coefficient of variation (CVw). Results: The adjusted rate of antibiotic varied between 279,8 and 382 per 1000 inhabitants, showing a CVw=0,12. The utilization rate in women was 364.9 per 1,000 and in men 300.0 per 1,000. Cephalosporins have a EQ=2,42 and CVw=0,37; and quinolones have EQ=1,84 and CVw=0,22. Conclusions: The utilization rate was higher in women than men. The higher variability in the prescription of antibiotics among health areas in Aragon was in cephalosporins and quinolones.
KW - Det Sundhedsvidenskabelige Fakultet
KW - antibiotics
KW - pharmacoepidemiology
KW - drug consumption
KW - primary health care
M3 - Tidsskriftartikel
VL - 86
SP - 627
EP - 635
JO - Revista Espanola de Salud Publica
JF - Revista Espanola de Salud Publica
SN - 1135-5727
IS - 6
ER -
ID: 42023473