出版社：Asociación Latinoamericana de Profesores de Medicina Familiar A.C.
摘要：Objetivo: Identificar los principales farmacos con sospecha de reacciones adversas asi como la opinion de los medicos familiares sobre el programa de farmacovigilancia (PdF). Material y Métodos: Estudio descriptivo y transversal. Se registraron casos de reacciones adversas, reportados por medicos familiares durante un ano, mediante el formato SSA- 03-021. Al final del ano se aplico una encuesta sobre conocimiento y opinion acerca del PdF a 25 medicos familiares de la Unidad de Medicina Familiar No. 61, Instituto Mexicano del Seguro Social de la Delegacion Veracruz Norte, Mexico. Se utilizo estadistica descriptiva en el analisis. Resultados: Fueron reportados 60 casos de sospecha de reacciones adversas: 37 mujeres y 23 hombres. El grupo de farmacos con mayor numero de reportes fue el de los prescritos para enfermedades infecciosas y parasitarias, seguidos de los medicamentos para enfermedades cardiologicas y los analgesicos. Las encuestas aplicadas indican que 16 medicos familiares conocian el programa pero solo ocho enviaron pacientes a control. Los medicos senalaron al exceso de trabajo como principal obstaculo para realizar los reportes. Conclusiones: A traves del PdF no se obtuvieron las metas esperadas; lo cual concuerda con la experiencia internacional. Existe necesidad por mejorar la cultura del reporte y proponer nuevas estrategias para lograr el cumplimiento de metas.
其他摘要：Objective: To identify the main pharmaceuticals with suspicion of side effects, as well as the opinion of Family Physicians on the Pharmacosurveillance Program (PhSP). Materials and Methods: We conducted a descriptive and transversal study, registering cases of side effects reported by Family Physicians during 1 year by means of the Mexican Secretariat of Health (SSA)-03-021 format. At the end of the year, we applied a survey on knowledge and opinion regarding the PhSP to 25 Family Physicians at the Veracruz North Delegation¿s Mexican Institute of Social Security¿s (IMSS) No. 61 Family Medicine Unit. We utilized descriptive statistics in the analysis. Results: Sixty cases were reported with suspicion of side effects, including 37 females and 23 males. The pharmaceutical group with the highest number of reports comprised prescriptions for infectious and parasitic diseases, followed by medicaments for cardiologic and analgesic diseases. The surveys applied indicate that 16 Family Physicians were aware of the PhSP, but that these only referred a total of eight patients to control. The Physicians cited excessive work as the main obstacle for carrying out reports. Conclusions: We did not obtain the expected goals by means of the PhSP, which is in agreement with the international experience. The need exists to improve the culture of the medical report and to propose novel strategies to achieve goal compliance.
关键词：Reacciones adversas; farmacovigilancia; primer nivel de atencion;Side effects; pharmacosurveillance; primary care
