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Respiratio 2019; 9 (1-2): 105-114

UPOTREBA ANTIBIOTIKA U ODNOSU NA PREPORUKE ZA LIJEČENJE
AKUTNIH RESPIRATORNIH INFEKCIJA U PORODIČNOJ MEDICINI


ANTIBIOTIC USE RELATED TO RECOMMENDATIONS FOR TRETMENT OF ACUTE
RESPIRATORY INFECTIONS IN FAMILY MEDICINE


Marković Brankica, Stanetić Kosana, Petrović Verica, Mijatović Zoran

Original research

Naučni članak

doi: 10.26601/rsp.aprs.19.6

Sažetak
Uvod:
Akutne respiratorne infekcije (ARI) su jedan od najčešćih razloga za posjetu porodičnom
ljekaru. Iako su virusi odgovorni za većinu ARI, upotreba antibiotika u ovim oboljenjima često je visoka.
U Republici Srpskoj, porodičnim ljekarima su na raspolaganju vodiči za najčešće akutne respiratorne
infekcije djece i odraslih.


Cilj:Procjena učestalosti propisivanja antibiotika kod ARI u porodičnoj medicini Doma zdravlja
Banja Luka i usklađenost propisane antibiotske terapije sa vodičima za ARI.


Metode: Provedena je retrospektivna studija u devet timova porodične medicine Doma zdravlja
Banja Luka od 1. januara do 31. decembra 2017.godine. Analizirani su oboljeli od akutnih sinusitisa,
tonzilofaringitisa, bronhitisa, pneumonija i nespecifičnih upala donjih respiratornih puteva. Analizirane
su sociodemografske karakteristike ispitanika, eventualni antibiotski tretman i da li je antibiotski tretman
u skladu sa vodičima za ARI.


Rezultati:Od ukupno 2446 ispitanika,čak2035 (83,2%) dobilo je antibiotik. Antibiotici su bili
nezaobilazni u liječenju tonzilitsa i pneumonija gde je zastupljenost bila preko 95%. Čak 60,7%
propisanih antibiotika nije bilo prema preporukama ARI vodiča.Penicilinski antibiotici su propisani u
67% slučajeva. Najpropisivaniji antibiotik bio je amoksicilin 822 (40,4%), zatim slijede
fenoksimetilpenicilin 318 (15,6%), azitromicin 239 (11,7%), doksiciklin 225 (11,1%), te amoksicilin sa
klavulanskom kiselinom 196 (9,5%).


Zaključak:U radu porodičnih ljekara, antibiotici su bili visoko zastupljeni u liječenju ARI.Primjena
vodiča prilikom odabira antibiotikaza liječenjeARI je bila neprimjereno mala.Ljekari češće propisuju
antibiotik prvog izbora u liječenju akutnih tonzilitisa i sinusitisa, nego u liječenju akutnih faringitisa,
bronhitisa i pneumonija.


Ključne riječi:ARI, antibiotici, vodiči za ARI

Full Article (PDF)

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Corresponding author:
Brankica Marković
E-mail:This email address is being protected from spambots. You need JavaScript enabled to view it.
Tel. +38765944797
Presenting author:
Verica Petrović
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Tel.+38765638828

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