Follow Us: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
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
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Corresponding author:
Brankica Marković
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Tel. +38765944797
Presenting author:
Verica Petrović
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Tel.+38765638828