Análise do perfil das informações sobre antimicrobianos, solicitadas em um Centro de Informações sobre Medicamentos em Fortaleza-Ce, após a implantação das resoluções 44/2010 e 20/2011

Abstract

The indiscriminate and excessive use of antibiotics, over the years, has raised troubling situations, causing the increasing emergence of resistant strains. Bacterial resistance is currently considered a global problem being studied various strategies for its containment. Facing this situation, was enacted Resolution nº 44/2010, later amended by 20/2011, which provides for the control of drugs, based on antimicrobial. These measures, however, caused many divergent opinions about your goals, generating not only critical, but mostly, doubts and difficulties of the moment of prescribing and dispensing, making health professionals as well as users, would resort to the Information Centers Medicines (CIM) for further clarification. The CIM, through the provision of information and guidance, appears as an instrument strong and active in trying to ensure the rational use of antimicrobials, while pointing out features on the use of these drugs in the population. The aim of this study was to evaluate the profile of information about antimicrobial requested by users served by a network of CIM Brazilian pharmacies before and after the implementation of RDC 44/2010 and RDC 20/2011, in the period 2009-2012, to verify the changes. For this, we analyzed the types of information provided on antimicrobials in each year of the study, as well as the main drugs of this class required for pharmaceutical information. These data were obtained from the database of drug information through software Tactium Managment ® 2005. The results show that the profile of the information provided by 2009 was indicative of self-medication, due to the higher frequency of information on the indication of treatment with antimicrobials (20.20%). From 2010, the year of publication of RDC 44/2010, there was a higher frequency of information on legislation and analysis of antimicrobial prescriptions, with considerable decrease occurrences of requests for treatment. The information on the guidelines, provided by pharmaceutical service, remained common in all years of the study, which shows the ignorance of the users regarding diagnosis, appropriate dosage and other information and guidance on the use of antimicrobials, and the role of this essential professional to do so. Thus, it can be concluded that self-medication with antibiotics, a major cause of bacterial resistance, decreased from the implementation of control measures of these drugs, however, are still many questions about checked the rules and bylaws of such measures, necessitating upgrading of health professionals by the competent bodies, with the CIM as active contributor to this process.