Incumplimiento del tratamiento antibiótico sistémico prescrito en servicios de urgencias de Atención Primaria (Estudio INCUMAT) / Non-compliance with the systemic antibiotic treatment prescribed in Primary Health Care emergency departments (Study INCUMAT’)

Introducción. El incumplimiento del tratamiento antibiótico tiene graves consecuencias. Por otro lado, los antibióticos son fármacos muy prescritos y existen pocos estudios que evalúen el cumplimiento terapéutico en enfermedades agudas. El objetivo principal de este estudio consiste en establecer el porcentaje de incumplimiento del tratamiento antibiótico sistémico prescrito en Urgencias de Atención Primaria. Material y métodos. Estudio observacional prospectivo, realizado en Urgencias de 2 centros de salud del Servicio Cántabro de Salud entre junio y septiembre de 2014. Evaluó a 303 pacientes a los que se les prescribe un antibiótico sistémico por cualquier enfermedad infecciosa, de cualquier edad y a los que se les puede hacer un seguimiento. Se estudiaron variables sociodemográficas, dolencias y cumplimiento (test de Morisky-Green y 3 preguntas añadidas por los autores). Resultados. El incumplimiento, valorado por el test de Morisky-Green, fue del 32,7% (IC 95% 27,6-38,1), aumentando esta prevalencia al 44,9% (IC 95% 39,4-50,5) al asociar al test de Morisky-Green 3 preguntas añadidas por los autores. Se aprecia una tendencia descendente en el incumplimiento conforme mayor es la edad. El riesgo de ser incumplidor es el doble en varones que en mujeres: OR=2,02 (IC 95% 1,27-3,24). Conclusiones. El 45% de los pacientes a los que se les prescribe un antibiótico no cumplen con las indicaciones. El olvido es la causa que dan en su mayoría para no cumplir correctamente el tratamiento prescrito. Los ancianos y las mujeres cumplen mejor, lo que debería tenerse en cuenta a la hora de diseñar estrategias de mejora en el cumplimiento terapéutico (AU)

Introduction. Non-compliance with antibiotics treatment has severe consequences. Although antibiotics are commonly prescribed drugs, there are few studies that evaluate therapeutic compliance in acute diseases. The main objective of this study is to determine the percentage of non-compliance with the systemic antibiotics treatment prescribed in emergency departments. Material and methods. A prospective observational study was performed in the Emergency Department of 2 health centres of the Cantabria Health Service between the months of June and September 2014. The study included patients of any age, and those could be monitored, who were prescribed a systemic antibiotic for any infectious disease. Sociodemographic variables, diseases, and compliance were the variables studied. The Morinsky-Green test was used, plus 3 questions added by the authors. Results. Of the 303 patients included, non-compliance, evaluated using the Morinsky-Green test, was 32.7% (95% CI 27.6-38.1), with this rising to the 44.9% (95% CI 39.4-50.5) when the 3 mentioned questions were added to the test. A downward trend is observed in non-compliance as the age increases. The risk of non-compliance is twice in men than in women: OR=2.02 (95% CI 1.27-3.24). Conclusions. Almost half (45%) of the patients who are prescribed antibiotics do not comply with the indications. Most of them attribute this fact to forgetfulness in compliance with the prescribed treatment. The elderly and women follow the treatment better, which should be taken into account when designing strategies to improve therapeutic compliance (AU)

[Non-compliance with the systemic antibiotic treatment prescribed in Primary Health Care emergency departments (Study INCUMAT')]. / Incumplimiento del tratamiento antibiótico sistémico prescrito en servicios de urgencias de Atención Primaria (Estudio INCUMAT).

INTRODUCTION: Non-compliance with antibiotics treatment has severe consequences. Although antibiotics are commonly prescribed drugs, there are few studies that evaluate therapeutic compliance in acute diseases. The main objective of this study is to determine the percentage of non-compliance with the systemic antibiotics treatment prescribed in emergency departments. MATERIAL AND METHODS: A prospective observational study was performed in the Emergency Department of 2 health centres of the Cantabria Health Service between the months of June and September 2014. The study included patients of any age, and those could be monitored, who were prescribed a systemic antibiotic for any infectious disease. Sociodemographic variables, diseases, and compliance were the variables studied. The Morinsky-Green test was used, plus 3 questions added by the authors. RESULTS: Of the 303 patients included, non-compliance, evaluated using the Morinsky-Green test, was 32.7% (95% CI 27.6-38.1), with this rising to the 44.9% (95% CI 39.4-50.5) when the 3 mentioned questions were added to the test. A downward trend is observed in non-compliance as the age increases. The risk of non-compliance is twice in men than in women: OR=2.02 (95% CI 1.27-3.24). CONCLUSIONS: Almost half (45%) of the patients who are prescribed antibiotics do not comply with the indications. Most of them attribute this fact to forgetfulness in compliance with the prescribed treatment. The elderly and women follow the treatment better, which should be taken into account when designing strategies to improve therapeutic compliance.