Adecuación del uso de la profilaxis antibiótica en la infección del tracto urinario en la atención primaria de la Organización Sanitaria Integrada Alto Deba

Context

OSI Debagoiena Integrated Healthcare Organization is composed of a hospital and 4 Primary Care Units (PCU) with an area of influence of 67,000 inhabitants.

Local problem

The use of antibiotics was reviewed in patients with antibiotic prophylaxis in urinary tract infection (ITU): Nitrofurantoin, fosfomycin trometamol, calcium fosfomycin, cotrimoxazole and cefuroxima axethyl and various incidences regarding dosage, duration and adequacy were found.

Methods

From the Oracle Business Intelligence (OBI) database, the list of patients meeting the recurrent UTI criteria and, on the other hand, patients with antibiotics in prophylactic doses were obtained.

Interventions

A descriptive statistical analysis was carried out which was analyzed and included in a report on the status of use of ITU prophylaxis.

Sessions were held at each PCU and another general session at the hospital to show the results.

Results

In the Organization, with this criterion, 382 patients were detected, and of these, 12 were active prophylaxis in March 2019 (330 women, 52 men).

In addition, an antibiotic and chronic and “on-demand” prescription search was conducted and many more patients with antibiotic prophylaxis were found to exist.

The sessions clarify concepts around antibiotics that can be used in ITU prophylaxis, posology, duration, etc. Qualitatively, on-demand requirements with packaging limitation have increased significantly.

Conclusions

Consensus measures were collected in a protocol for the use of prophylaxis of UTI at the Organization level agreed between Primary care, Infection Commission and Urology.