Avaliação do consumo de antimicrobianos em drogarias no município de Cachoeira do Sul.

Abstract

Rationale and objectives: Antimicrobials are drugs responsible for inhibiting bacterial growth; their consumption has recently become a public health problem because of its irrational and indiscriminate use. With the purpose of reducing this consumption, the resolution of the collegial Board No. 20 of 2011 (RDC 20/2011) arises, with the objective of emphasizing the conscious use of this class of drugs and reducing bacterial resistance. These changes aim to promote a change in the conception of self-medication, highlighting a more conscious action of the pharmacist regarding access to antimicrobials. This study aimed to evaluate the consumption of antimicrobials contained in the network database of pharmacies subject to special control. Methods: The study was descriptive, with secondary data collection, where the consumption of antimicrobials was evaluated in the period from 2012 to 2016. The research was carried out in four branches of a drugstore chain in the city of Cachoeira do Sul / RS. It was based on an analysis of the consumption of standardized antibiotics in drugstores based on the Daily Definite Dose (DDD), which enabled the consumption ratio in the years 2012 to 2016. Results: After analyzing the present study, in relation to the number of antibiotics used, after the changes occurred with the publication of RDC nº 44 (ANVISA, 2010) and RDC nº20 (ANVISA, 2011), through the DDD analysis, it was verified that there was a considerable decrease in the use of this type of medication as we can observe in the class of penicillins, the consumption was DDD / hab / day of 4.22, 1.71 and 2.54 in the years of 2012, 2015 and 2016, with the exception of class of the tetracyclines that had a slight increase DDD / hab / day 0.61, 0.02 and 0.83. Conclusion: After the publication of the recent control measures proposed by ANVISA, it was evident that many patients acquired antimicrobials without due legal control, expose that a great number of drugs were used unnecessarily and, therefore, were vulnerable to unnecessary risks, besides subject to adverse effects and drug interactions, thus leading to an increased risk of bacterial resistance.