0342/2020 - Prevenção e controle de resistência antimicrobiana na Atenção Primária à Saúde: evidências para políticas Prevention and control of antimicrobial resistance in Primary Health Care: evidence for policies
A resistência antimicrobiana é um problema mundial que põe em risco a segurança da saúde da população. Objetivos: Identificar e avaliar estratégias para prevenção e controle de resistência microbiana, bem como barreiras para sua implementação em serviços de Atenção Primária à Saúde (APS).Métodos:Realizou-se uma síntese de evidências para políticas. As buscas de evidências foram realizadas entre novembro/dezembro de 2018, em 13 bases de dados. Um diálogo deliberativo foi realizado para validação dos resultados e levantamento de barreiras e facilitadores para implementação das estratégias. Resultados: As 13 revisões sistemáticas incluídas mostraram que intervenções com foco em educação, uso de sistemas eletrônicos e biomarcadores reduziram o consumo e prescrição de antimicrobianos. É um obstáculo à implementação a expectativa de usuários/cuidadores em receber prescrição de antibióticos, e são facilitadores as ações educativas que envolvem profissionais de saúde. Conclusões: O uso racional de medicamentos se impõe na APS com vistas à prevenção da resistência dos microrganismos aos antibióticos. As intervenções identificadas neste estudo podem ser implementadas isoladamente ou em conjunto, conforme o contexto local.
Palavras-chave:
Resistência Microbiana a Medicamentos; Gestão de Antimicrobianos; Atenção Primária à Saúde; Política Informada por Evidências
Abstract:
Antimicrobial resistance is a worldwide problem that risks population’s health. Objectives: To identify and evaluate strategies for prevention and control of antimicrobial resistance, as well as barriers to their implementation in Primary Health Care (PHC) services. Methods: We developed an evidence brief for policy. Evidence searches were carried out between November/December 2018, in 13 databases. A deliberative dialogue was held to validate the results and to list barriers and promoters to strategies implementation. Results: 13 included systematic reviews presented results that interventions with focus on education, use of electronic systems and biomarkers, showed reduction in antimicrobial consumption and prescription. Regardin implementing strategies main obstacle is related to user/cargiver’s expectation to receive antibiotic prescriptions, while education actions involving health professionals was a promoter. Conclusions: Rational use of medications in the PHC services is important to prevent antimicrobial resistance to antibiotics. Effective interventions that were identified in this study can be implemented alone or combined, according to local context.
Keywords:
Drug Resistance, Microbial; Antimicrobial Stewardship; Primary Health Care; Evidence-Informed Policy.
Prevention and control of antimicrobial resistance in Primary Health Care: evidence for policies
Resumo (abstract):
Antimicrobial resistance is a worldwide problem that risks population’s health. Objectives: To identify and evaluate strategies for prevention and control of antimicrobial resistance, as well as barriers to their implementation in Primary Health Care (PHC) services. Methods: We developed an evidence brief for policy. Evidence searches were carried out between November/December 2018, in 13 databases. A deliberative dialogue was held to validate the results and to list barriers and promoters to strategies implementation. Results: 13 included systematic reviews presented results that interventions with focus on education, use of electronic systems and biomarkers, showed reduction in antimicrobial consumption and prescription. Regardin implementing strategies main obstacle is related to user/cargiver’s expectation to receive antibiotic prescriptions, while education actions involving health professionals was a promoter. Conclusions: Rational use of medications in the PHC services is important to prevent antimicrobial resistance to antibiotics. Effective interventions that were identified in this study can be implemented alone or combined, according to local context.
Palavras-chave (keywords):
Drug Resistance, Microbial; Antimicrobial Stewardship; Primary Health Care; Evidence-Informed Policy.
Araújo, B.C, Melo, R.C, Bortoli, M.C, Bonfim, J.R.A, Toma, T.S. Prevenção e controle de resistência antimicrobiana na Atenção Primária à Saúde: evidências para políticas. Cien Saude Colet [periódico na internet] (2020/nov). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevencao-e-controle-de-resistencia-antimicrobiana-na-atencao-primaria-a-saude-evidencias-para-politicas/17824?id=17824
