Abstract

TROCHE-ZARACHO, María et al. Use of antibiotics in the National Burn Center, Paraguay. Mem. Inst. Investig. Cienc. Salud [online]. 2017, vol.15, n.2, pp.97-103. ISSN 1812-9528.  https://doi.org/10.18004/mem.iics/1812-9528/2017.015(02)97-103.

To obtain an optimal therapeutic practice it is necessary to know how the antibiotics are used. The objective of this study was to analyze and describe prescribing practices and antibiotic consumption at the National Burn Center from July to December 2014. This was a non-experimental, descriptive, retrospective study that included the records of patient with burns who were hospitalized for more than 24 hours in the center and that received antibiotics during the period of study. The sampling was non-probabilistic of consecutive cases. It was approved with the code CEI 150/15. DDD/100 bed-days were used as a unit of measurement to analyze the consumption of antibiotics the Anatomical-Therapeutic-Chemical classification to classify the drugs. Burns were coded according to the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. More than half of the patient records corresponded to males, the mean age was 20 ± 24 years. The most frequent burns were those that affected less than 10% (T31.0) (39.1%). Seventy eight point four DDD/100 bed-days of antibiotics were consumed. Ceftazidime was the most commonly used antibiotic 25.8 DDD/100 bed-days, followed by vancomycin and amikacin. Of the isolated microorganisms, Pseudomonas aeruginosa was the most frequent, followed by Acinetobacter sp. and Klebsiella sp. The results provides a baseline for further studies of antibiotics use in the National Burned Patient Center, in order to analyze their evolution, the practices of use and to have control of the resistance to them.

Keywords : Burn; Antibiotic; Prescription; Use.

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