Antibiotics prescription for indigent patients in primary care.
A drug use evaluation focusing on prescribed antibiotics among Greek indigent and Social Security patients.
Four hundred and forty-six indigent patients insured by Social Care and 332 patients insured under Social Security Funds were interviewed and their prescription records reviewed.
Although 88.5% of indigent patients stated that they had received instructions on antibiotic use and had understood these instructions, only 45.9% could correctly repeat these instructions.
Only 9.9% read the enclosed leaflets and 59.4% reported asking the pharmacist for advice, 54.1% of these patients were unaware of the dosage of their medication, and the length of treatment was only written in 13% of cases.
The most common diseases among indigent patients were respiratory infection (11.7%) and dental problems (10.1%). The latter ranked 11th among the insured patients (3.7%). Tuberculosis (3.3%) was still one of the most common diseases among the indigent patients.
Overall, 30.9% of the prescribed daily defined dose (DDD) of medication for the indigent patients were for cardiovascular drugs (16.9% of the cost), 19.5% were for nervous system drugs (8.9% of the cost), 13.5% for gastrointestinal tract drugs (14.1% of the cost) and only 4.3% were antibiotics (but 16.9% of the cost).
The most frequently prescribed antimicrobials were penicillins (45.6%), cephalosporins (19.7%), macrolides (12.6%) and quinolones (9.6%). Anti-tuberculous agents made up 13. (...)
Mots-clés Pascal : Prévention, Infection, Homme, Chimiothérapie, Traitement, Efficacité traitement, Primary Care Patient Request Scale, Antibiotique, Observance thérapeutique, Information thérapeutique, Antibactérien, Antituberculeux, Pharmacien, Relation médecin malade, Evaluation
Mots-clés Pascal anglais : Prevention, Infection, Human, Chemotherapy, Treatment, Treatment efficiency, Primary Care Patient Request Scale, Antibiotic, Treatment compliance, Therapeutic information, Antibacterial agent, Antituberculous agent, Chemist, Physician patient relation, Evaluation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0080567
Code Inist : 002B30A01C. Création : 14/05/1998.