TÌNH HÌNH KÊ ĐƠN THUỐC NGOẠI TRÚ SỬ DỤNG KHÁNG SINH HỢP LÝ VÀ KẾT QUẢ SAU CAN THIỆP BẰNG TRUYỀN THÔNG TẠI TRUNG TÂM Y TẾ HUYỆN MỸ TÚ TỈNH SÓC TRĂNG NĂM 2020

Abstract

  Background: In the period of current, more and more antibiotic resistances are increasing and become the greatest concerned in medical domain of many countries. Objectives: 1) Determining the rate of outpatient prescriptions using reasonable antibiotics at My Tu Medical Centre, Soc Trang Province in 2020, 2) Find out some factors related to inappropriate antibiotic use at My Tu Medical Centre, Soc Trang Province in 2020, and 3) Evaluation of the results of outpatient prescription of rational antibiotic use after communication intervention at My Tu Medical Centre, Soc Trang Province in 2020-2021. Materials and methods: A cross-sectional and intervention on 400 medical records including antibiotics at My Tu district medical center, Soc Trang province. The rate of rational use of antibiotics was assessed according to Decision 772 of the Ministry of Health. Results: The rate of rational antibiotic use was 81%. There is a relationship between patient age, comorbidities with appropriate antibiotic use rate. Patients under the age of 30 and with less than 2 comorbidities had a higher rate of inappropriate antibiotic use (P<0.05). After the intervention, the rate of prescription of appropriate name and content, reasonable dosage, and reasonable use time improved. However, the rate of correct antibiotic combination decreased from 100% to 82.35%. The rate of safe and reasonable antibiotic use after intervention improved from 81% to 88.25 (P<0.001). Conclusions: The percentage of outpatient prescription use antibiotics reasonably was 81%, controlling over clinical pharmacology and the information of drugs rigidly contribute to alleviate the consequences of drug resistance and the patient’s economy.