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Antimicrobial distribution and costs in primary care

Abstract

Objective:

To analyze antimicrobial distribution and costs in primary care of a capital city in the Northeast region of Brazil.

Methods:

Cross-sectional, analytical study, developed in the city of Teresina, in the state of Piauí, Brazil. Data cover the period from June 2015 to July 2016. Descriptive statistics and the Kruskal-Wallis test were calculated to compare the medians of the independent data distributions.

Results:

A total of 1,651,516 antimicrobials were distributed in 15 different types, with amoxicillin (500mg) being the most distributed (75%) in psychosocial care centers, and in the basic health units (47%). The total cost for the period was 98,705.00 BRL. There were no statistically significant differences among the costs medians in each zone of the studied municipality.

Conclusion:

These drugs are irregularly distributed among the units, according to the demand. The supply does not follow a specific protocol, and a possible increase or reduction in demand is not investigated.

Keywords
Anti-infective agents; Good distribution practices; Primary health care; Infection control

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