ABSTRACT
This study analyzed the consumption of systemic antibiotics in the province of Avila, Spain, and its Basic Health Areas (ZBS) during 2005. It was a retrospective observational study of the consumption of systemic antibiotics (ATC class J01) during 2005 using the data collected by the Concylia program. The study population was identified from the 2005 Medical Card Register database. Consumption data was expressed in defined daily doses (DDD) per 1,000 inhabitants per day (DID), calculated in relation to the contribution of the user at the time of acquiring the prescription. It was found that antibiotic consumption in the province of Avila in 2005 was 26.91 DHDAj. There was a considerable difference between rural (36.63) and urban areas (15.44) with a large variability among the different Basic Health Areas. The areas with a smaller number of inhabitants per town or city and per doctor, used more antibiotics, which could be due to more severe pathology, absence of self-medication or lack of diagnostic resources, among other factors. There is no relation between greater consumption and workload. It was concluded that the consumption of antibiotics in the province of Avila is high due to their use in rural areas. A high variability in the consumption of antibiotics was observed between the different areas, which was related to the smaller number of inhabitants per city or town and per doctor, but had no relation to workload.
Subject(s)
Anti-Bacterial Agents , Drug Prescriptions/statistics & numerical data , Databases, Factual , Drug Utilization , Humans , Retrospective Studies , Rural Population , Spain , Urban PopulationABSTRACT
El objetivo de nuestro estudio fue analizar el consumo de antibióticos en la provincia de Ávila y en sus diferentes Zonas Básicas de Salud (ZBS) durante el año 2005. Se trata de un estudio observacional retrospectivo, referido al consumo de antibióticos sistémicos (grupo J01 de la ATC), utilizando la información del programa Concylia de la Junta de Castilla y León. El consumo se ha referido en número de dosis diarias definidas por mil habitantes, ajustado en relación a la aportación económica del usuario en el momento de adquirir el medicamento (DHDAj). Como población de referencia se utilizó la incluida en la base de la tarjeta sanitaria en 2005, año en que se consumieron en la provincia de Ávila 26,91 DHDAj de antibióticos sistémicos, con importantes diferencias entre el medio rural (36,63) y el urbano (15,44), y una gran variabilidad entre las diferentes ZBS. Las ZBS con menor número de habitantes por núcleo de población y por médico consumen más antibióticos, lo que puede estar en relación con enfermedades más graves, ausencia de autoconsumo o falta de medios diagnósticos, entre otros factores. No hay relación entre mayor consumo y mayor presión asistencial. Se concluye que el consumo de antibióticos en la provincia de Ávila es alto, a expensas del consumo en el medio rural, y que existe una elevada variabilidad entre las diferentes ZBS relacionada con el menor número de habitantes por núcleo de población y por médico, y sin relación con la presión asistencial
This study analyzed the consumption of systemic antibiotics in the province of Avila, Spain, and its Basic Health Areas (ZBS) during 2005. It was a retrospective observational study of the consumption of systemic antibiotics (ATC class J01) during 2005 using the data collected by the Concylia program. The study population was identified from the 2005 Medical Card Register database. Consumption data was expressed in defined daily doses (DDD) per 1,000 inhabitants per day (DID), calculated in relation to the contribution of the user at the time of acquiring the prescription. It was found that antibiotic consumption in the province of Avila in 2005 was 26.91 DHDAj. There was a considerable difference between rural (36.63) and urban areas (15.44) with a large variability among the different Basic Health Areas. The areas with a smaller number of inhabitants per town or city and per doctor, used more antibiotics, which could be due to more severe pathology, absence of self-medication or lack of diagnostic resources, among other factors. There is no relation between greater consumption and workload. It was concluded that the consumption of antibiotics in the province of Avila is high due to their use in rural areas. A high variability in the consumption of antibiotics was observed between the different areas, which was related to the smaller number of inhabitants per city or town and per doctor, but had no relation to workload
Subject(s)
Humans , Drug Prescriptions/statistics & numerical data , Anti-Bacterial Agents/therapeutic use , Pharmacoepidemiology/trends , Drug Utilization/statistics & numerical data , Communicable Diseases/drug therapyABSTRACT
BACKGROUND: GIARDIA LAMBLIA (GL) constitutes a problem of public health especially (because of its greater frequency) amongst children. The aim of this study is to determine the prevalence of GL amongst children in the ZONA BASICA DE SALUD (ZBS) in the eastern part of the province of AVILA. METHODS: An observational prospective study undertaken in the ZBS of the eastern part of the Province of Avila during the 1992-93 school year. The faeces of 318 children, aged 3 to 14, without symptoms, attending school in 8 villages of the area were studied by means of the Teleman-Rivas test. RESULTS: The over all Prevalence of GI is 4.4%, we found no statistically significant differences between girls and boys, or between children aged over or under 10, or between those living in villages with more or fewer than 2000 inhabitants. CONCLUSIONS: The prevalence of GL amongst the child population of ZBS in the eastern part of the province of Avila is 4.4% which figure accords closely with those found in similar studies.
