• Prevalencia y factores asociados a la compra de antimicrobianos sin receta médica en usuarios de farmacias y boticas, Perú ENSUSALUD 2016

      Gutiérrez Sierra, Manuel Eduardo; Rojas Adrianzén, Carolay Stephany (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-02-05)
      Objectives: To describe the prevalence of the purchase of antimicrobials without medical prescription (PAWMP) and its associated factors in users of drugstores/pharmacies according to the National Survey on User Satisfaction of Health Services (ENSUSALUD) 2016. Materials and Methods: We performed a secondary data-analysis of ENSUSALUD 2016; a two-stage population-based study carried out in health care centes of the Ministry of Health and Regional Governments , Social Security, Armed Forces and Police and the private sector. Generalized linear models for complex survey sampling were fit to estimate prevalence ratios (PR) and 95% confidence intervals (CI). Results : The prevalence of PAWMP was 56.00%. The prevalence of PAWMP in the Mountains/Jungle was 69.00% (PR : 1.69 ; 95% CI: 1.34-2.14) and 61,00% (RP=1.61 IC95%:1.31-1.99) greater, respectively, than the prevalence of PAWMP in Lima. The prevalence of PAWMP in those with Integral Health Insurance (SIS) was 28.00% lower, than in those with PAWMP who did not have health insurance (RP=0.72 IC95%:0.59-0.88). The prevalence of PAWMP in those who bought for their spouse or child was 34.00% (RP=0,66 IC95%:0,56-0,78) and 35.00% (RP=0.65 IC95%:0.50-0.86) lower, respectively, than in those that bought for themselves. Conclusions: More than half of users of drugstores/pharmacies who bought antimicrobials, did it without a medical prescription. In Peru, PAWMP is associated with being from the Mountains or Jungle, having SIS and purchase antimicrobials for their spouse or child. We suggest strategies to promote the adequate use and dispensing of antimicrobials, and increase the access to health services in the Peruvian population.
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