Training and practices for antibiotic prescription in health centers

Abstract

The inappropriate use of antibiotics, characterized by unjustified prescriptions, self-medication, and a preference for broad-spectrum drugs, poses a challenge to public health by increasing antimicrobial resistance. For this reason, this study aims to relate the rational use of antibiotics by physicians according to the training received in health centers in Health District 11D04, in the province of Loja, Ecuador. A non-experimental, cross-sectional, mixed-method design was used, employing surveys of physicians and interviews with coordinators and trainers to obtain quantitative and qualitative information. The results showed that continuing education improves theoretical knowledge and the application of clinical and microbiological criteria, adherence to protocols, and individualized dose adjustment. Gaps in coverage, continuity, and use of microbiological tools were identified. It is concluded that continuing education serves to optimize antibiotic prescribing and mitigate bacterial resistance.