Propisivanje antibiotika u obiteljskoj medicini u Zagrebu i okolici

master's thesis

• Title (english): Prescription of antibiotics in family practice in Zagreb and surroundings
• Author: Sandro Zurak
• Mentor: Marija Vrca Botica (mentor)
• Committee member: Goranka Petriček (predsjednik povjerenstva)
• Committee member: Venija Cerovečki Nekić (član povjerenstva)
• Committee member: Marija Vrca Botica (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Family Medicine); Zagreb
• Defense date and country: 2015-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Family Medicine

Abstract

U ambulantama obiteljske medicine propiše se 80% antibiotika za sistemsku uporabu. S početkom 2015. godine uveden je QI indeks za racionalno propisivanje antibiotika s praćenja kako bi se smanjila prekomjerna potrošnja i razvoj bakterijske rezistencije. Rad istražuje koji su najpropisivaniji antibiotici za infekcije dišnog i urinarno sustava kao najčešćih infekcija u čovjeka na uzorku tri ambulante obiteljske medicine na području Zagreba i okolice. Propisivani antibiotici se uspoređuju s dostupnim smjernicama za liječenje istih. 93% svih propisanih antibiotika bilo je za infekcije dišnog i urinarnog sustava. Najčešće propisivani antibiotik za infekcije dišnog sustava bio je azitromicin, a iza njega amoksicilin i ko-amoksiklav. Za infekcije urinarnog sustava je bio nitrofurantoin. Od ukupno propisanih antibiotika, azitromicin, amoksicilin i ko-amoksiklav činili su 74,8%. Razlog najpropisivanijeg makrolida azitromicina je u povišenom broju atipičnih pneumonija uzrokovanih bakterijom Mycoplasmom pneumoniae. Podatke o propisivanju je potrebno prikupiti na temelju cijele godine kako bi se dobio kvalitetniji uvid u potrošnji antibiotika.

Abstract (english)

80% of antibiotics for systemic use is prescribed by family practice. In year 2015 QI index for rational prescription of antibiotics is introduced with goal to reduce overprescription and bacterial resistance. This paper investigates most prescribed antibiotics for infections of respiratory and urinary tract on sample of three family medicine practices in ares of Zagreb and its surrounding. Prescribed antibiotics are compared with avaliable guidelines. 93% prescribed antibiotics were for respiratory and urinary tract infections. Azitromicin was most prescribed antibiotic for respiratory tract infections followed by amoxicillin and amoxicillin + clavulonic acid. For urinary tract infections, nitrofurantion was most prescribed. 74,8% of the precribed antibiotics were azitromicin, amoxicillin and amoxicillin + clavulonic acid. Reason for azitromicin being most prescribed is because of increased number of atypical pneumonia during investigated period caused by Mycoplasma pneumoniae. Data on prescribed antibiotics should be analyzed in years time in order to get more detail informations on prescribed antibiotics.

• Keywords: propisivanje antibiotika; infekcije dišnog sustava; infekcije urinarnog sustava; obiteljska medicina
• Keywords (english): antibiotic prescription; respiratory tract infections; urinary tract infections; family medicine
• Language: croatian
• URN:NBN: urn:nbn:hr:105:167969
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Access restricted to students and staff of home institution
• Created on: 2016-12-01 08:24:35