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Revista de salud publica del Paraguay

Print version ISSN 2224-6193On-line version ISSN 2307-3349


AGUILAR, Gloria et al. Profile of antibiotic use in hospitals of third and fourth level of care of three departments of Paraguay, 2017. Rev. salud publica Parag. [online]. 2018, vol.8, n.1, pp.9-15. ISSN 2307-3349.


Antibiotics are one of the pharmacological groups of greater prescription and use, occupying the first or second place in the pharmacy expenses of a hospital. It is estimated that 70% of the use of antibiotics is inadequate.


To determine the profile of antibiotic use in hospitals of third and fourth level of attention of three departments of Paraguay during 2017.

Material and methods:

Observational study, descriptive cross section with probabilistic sampling. The sample design considers levels of care as strata: fourth and third level of care where hospitals were randomly selected in 3 departments of Paraguay during 2017. A prevalence cut of one week was carried out and the proportion under treatment was counted with antibiotics and in case of receiving ATB the indication reason, type of antibiotic, route of administration, dose, interval, time of antibiotic therapy.


Sixty-eight patients were included in the study, 63.67% (403) were female, and 26.09% (162) were older than 50 years. 70.69% (451) used antibiotics, 53.27% (236) of the cases were used for prophylactic purposes. 34.60% (219) did not use the antibiotic properly.


The proportion of antibiotic use was 70.69%, most were for prophylactic purposes and the highest proportion of the indications of antibiotics in hospitals is inadequate, in turn 34.60% of antibiotics are used improperly. For all the above, it is imperative to implement intervention strategies and control the use of antibiotics to reduce the use of antibiotics in hospitals.

Keywords : Antibiotic Prophylaxis; Microbial drug resistanc; Rational use of medicines.

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