Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de Santiago

Background: Community acquired pneumonia (CAP) has a high mortality rate among older people. To increase its treatment efficiency, the Chilean Ministry of Health elaborated a clinical management guideline for CAP. Aim: To assess the degree of compliance with the clinical guidelines for CAP among pro...

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Autores principales:	Sánchez,Hugo, Albala,Cecilia, Dangour,Alan D, Uauy,Ricardo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	Antibacterial agents Pneumonia, bacterial Standards
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001200005
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spelling	oai:scielo:S0034-988720090012000052010-05-24Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de SantiagoSánchez,HugoAlbala,CeciliaDangour,Alan DUauy,Ricardo Antibacterial agents Pneumonia, bacterial Standards Background: Community acquired pneumonia (CAP) has a high mortality rate among older people. To increase its treatment efficiency, the Chilean Ministry of Health elaborated a clinical management guideline for CAP. Aim: To assess the degree of compliance with the clinical guidelines for CAP among professionals working at primary health care centers. Material and methods: A follow up of a cohort of 2,797 subjects aged 67 years or more, incorporated to a clinical study. All cases of bronchopneumonia or pneumonia diagnosed at primary health care centers between September 2005 and June 2008 were recorded. Results: During the follow up period, 192 cases of CAP were diagnosed. A chest X-ray was requested in 81% of cases and a confirmation consultation was done in 58%. Amoxicillin/ Clavulanic acid was the most common antimicrobial prescription in 61% of cases, followed by Clarithromycin in 17% and Amoxicillin in 12%. The antimicrobial used was not registered in 5% of cases. Conclusions: The clinical guidelines improve the efficiency of CAP treatment and decrease complications. However, these guidelines must been complemented with an adequate training and supervision of health care teams.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.12 20092009-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001200005es10.4067/S0034-98872009001200005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Antibacterial agents Pneumonia, bacterial Standards
spellingShingle	Antibacterial agents Pneumonia, bacterial Standards Sánchez,Hugo Albala,Cecilia Dangour,Alan D Uauy,Ricardo Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de Santiago
description	Background: Community acquired pneumonia (CAP) has a high mortality rate among older people. To increase its treatment efficiency, the Chilean Ministry of Health elaborated a clinical management guideline for CAP. Aim: To assess the degree of compliance with the clinical guidelines for CAP among professionals working at primary health care centers. Material and methods: A follow up of a cohort of 2,797 subjects aged 67 years or more, incorporated to a clinical study. All cases of bronchopneumonia or pneumonia diagnosed at primary health care centers between September 2005 and June 2008 were recorded. Results: During the follow up period, 192 cases of CAP were diagnosed. A chest X-ray was requested in 81% of cases and a confirmation consultation was done in 58%. Amoxicillin/ Clavulanic acid was the most common antimicrobial prescription in 61% of cases, followed by Clarithromycin in 17% and Amoxicillin in 12%. The antimicrobial used was not registered in 5% of cases. Conclusions: The clinical guidelines improve the efficiency of CAP treatment and decrease complications. However, these guidelines must been complemented with an adequate training and supervision of health care teams.
author	Sánchez,Hugo Albala,Cecilia Dangour,Alan D Uauy,Ricardo
author_facet	Sánchez,Hugo Albala,Cecilia Dangour,Alan D Uauy,Ricardo
author_sort	Sánchez,Hugo
title	Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de Santiago
title_short	Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de Santiago
title_full	Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de Santiago
title_fullStr	Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de Santiago
title_full_unstemmed	Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de Santiago
title_sort	cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de santiago
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001200005
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Cumplimiento de la guía clínica de manejo ambulatorio de la neumonía adquirida en la comunidad en personas mayores en centros de atención primaria de salud de Santiago

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