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2020, Number 3

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Enf Infec Microbiol 2020; 40 (3)

Antibiotic treatment compliance in ambulatory children, in the South of Mexico City

Ramírez SMLP, Varela RMA, Reyes GU
Full text How to cite this article

Language: Spanish
References: 15
Page: 87-91
PDF size: 235.06 Kb.


Key words:

treatment compliance, primary care, antibiotics.

ABSTRACT

Objective. To know antibiotic treatment adherence in outpatient children, and to identify non-compliance related causes.
Method. Cross-sectional, prospective, descriptive and observational study. Children from six to 85 months of age who had been prescribed an antibiotic in a first contact infectious diseases clinic, were included. Sociodemographic variables such as: age, sex, parental education level, marital status of parents, social class of parents were studied. Compliance Morisky-Green questionnaire and other characteristics related to the antibiotic indicated to the participants were analyzed.
Results. 150 children were evaluated in six months, median age 12 months and average of 56.6 months (range six to 85 months). Compliance with the questionnaire Morisky-Green was not adequate in 55% of the patients. Most frequent reasons for incorrect administration or abandonment of treatment were: not waking up the child (43%), presenting improvement (28%). Other variables associated with non-compliance with antibiotic treatment were: parents with secondary or higher scholar education, the marital status of the parents.
Conclusions. More than half of the children who take antibiotics in primary care do not comply correctly with the prescribed treatment. It is necessary that medical staff explain to the parents or guardians, the pharmacokinetics, pharmacodynamics and days of administration, of each drug and to raise awareness of the importance of proper administration to their children.


REFERENCES

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  2. who, Adherence to long term therapies: evidence for action, Ginebra, World Health Organization, 2003.

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  8. Silvestre, C., Ramalle, E., Arnáez, R., Flor, A., García, J., Ramil, H. et al., “Estudio multicéntrico sobre adhesión al tratamiento antibiótico en población infantil en atención primaria”, Aten Primaria, 2001, 27: 554-558.

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  11. Llor, C., Sierra, N., Hernández, S., Moragas, A., Hernández, M., Bayona, C. et al., “The higher the number of daily doses of antibiotic treatment in lower respiratory tract infection the worse the adherence”, J Antimicrob Chemother, 2009, 63: 386-389.

  12. Morisky, D.E., Green, L.W. y Levine, D.M., “Concurrent and predictive validity of a self-report measure of medication adherence”, Med Care, 1986, 24: 67-74.

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Enf Infec Microbiol. 2020;40