REVIEW ARTICLE


Prescription of Antimicrobials in Primary Health Care: Scoping Review



Herica Emilia Félix Carvalho1, *, Guilherme Schneider1, Aires Garcia dos Santos Junior2, Odinéa Maria Amorim Batista3, Jose Mondlane4, Adriano Menis Ferreira2, Denise de Andrade1, Andreia Rodrigues Moura da Costa Valle3
1 Department of Enfermagem Fundamental, Escola de Enfermagem de Ribeirão Preto, Brazil
2 Department of Enfermagem, Universidade Federal de Mato Grosso do Sul, Brazil
3 Department of Enfermagem, Universidade Federal do Piauí, Brazil
4 Higher Institute of Science and Technology of Mozambique, Medicina, Mozambique


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Creative Commons License
© 2021 de Carvalho et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Department of Enfermagem Fundamental, Escola de Enfermagem de Ribeirão Preto, Brazil; Tel: (86) 98879-5494; E-mail: herica_emilly@hotmail.com.br


Abstract

Objective:

To map the available evidence about the prescription of antimicrobials in Primary Health Care.

Methods:

A Scoping Review has been proposed based on the procedures recommended by the Joanna Briggs Institute.

Results:

This review included a total of 16 studies. The articles compiled demonstrated that this theme is the center of discussion, in a linear manner, over the past 12 years. Among the studies, 37.5% occurred in Brazil, and regarding the prescription of antimicrobials analyzed in studies, amoxicillin was the most prescribed, the physician was the prescribing professional in 12 studies, and the prescriptions were mostly intended for the general population (children, adolescents, adults and the elderly).

Conclusion:

This review ratifies the premise of rational use of antimicrobials promoted by the World Health Organization through the goals of sustainable development when understanding that these drugs have been considerably prescribed in the daily routine of Primary Health Care and there is no specific system to control and monitor their rational use.

Keywords: Anti-infective agents, Prescription drugs, Primary health care, Health personnel, Drug utilization.