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Vojnosanitetski pregled
2019, vol. 76, br. 7, str. 684-689
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 29/07/2019
doi: 10.2298/VSP170731153P
Creative Commons License 4.0
Neadekvatno propisivanje antibiotika bolesnicima sa akutnim bronhitisom
Univerzitet u Kragujevcu, Medicinski fakultet

e-adresa: salekkg91@gmail.com

Sažetak

Uvod/Cilj. Neadekvatno propisivanje antibiotika bolesnicima sa akutnim bronhitisom česta je pojava u kliničkoj praksi, sa potencijalno ozbiljnim posledicama, iako većina vodiča za lečenje akutnog bronhitisa to ne preporučuje. Cilj naše studije bio je da se doprinese postojećim saznanjima o neodgovarajućem propisivanju antibiotika. Metode. Ova studija tipa slučaj/kontrola uključivala je odrasle bolesnike sa akutnim bronhitisom tokom prvog susreta sa lekarom opšte prakse. Propisivanje antibiotika je definisalo slučajeve, a bolesnici bez propisanog antibiotika služili su kao kontrola. Rezultati. Antibiotici (uglavnom makrolidi i beta-laktami) bili su propisani većini bolesnika sa dijagnozom akutnog bronhitisa (78,5%). Uočena je značajna povezanost između propisivanja antibiotika i starosti bolesnika, između propisivanja antibiotika i toga da li je lekar specijalista ili ne, kao i između propisivanja antibiotika i prosečnog broj bolesnika koje lekar pregleda tokom dana. Prilagođeni odnos šansi bio je [1,029 (1,007-1,052), 0,347 (0,147-0,818) i 0.957 (0.923-0.992), respektivno]. Zaključak. Prilikom prvog susreta bolesnika sa dijagnozom akutnog bronhitisa veću šansu da im antibiotik bude neadekvatno propisan imaju stariji bolesnici, posebno ako lekar nije specijalista i ako ima manji prosečan broj bolesnika u svojoj ordinaciji tokom dana.

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