{"id":19316,"date":"2016-02-18T10:22:40","date_gmt":"2016-02-18T09:22:40","guid":{"rendered":"http:\/\/blog.cofb.cat\/?p=19316"},"modified":"2016-02-18T10:22:40","modified_gmt":"2016-02-18T09:22:40","slug":"actuacio-farmaceutica-en-mal-de-gola","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/es\/2016\/02\/18\/actuacio-farmaceutica-en-mal-de-gola\/","title":{"rendered":"Actuaci\u00f3n farmac\u00e9utica en dolor de garganta"},"content":{"rendered":"<p><a href=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2016\/02\/taller-mal-de-gola-strept-5.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-19399 alignleft\" alt=\"taller-mal-de-gola-strept (5)\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2016\/02\/taller-mal-de-gola-strept-5.jpg\" width=\"408\" height=\"182\" \/><\/a>Cuando un paciente se presenta en la farmacia con molestias en la garganta, el motivo de consulta es la presencia de dolor en el momento de deglutir, un dolor que puede ser m\u00e1s o menos intenso. Si bien son muchas las patolog\u00edas que pueden provocar este s\u00edntoma, <b>la causa m\u00e1s corriente suele ser una faringoamigdalitis aguda. La dificultad principal est\u00e1 en determinar si estamos delante de un cuadro v\u00edrico o bacteriano.<\/b> Si bien las escalas de valoraci\u00f3n cl\u00ednica son una buena ayuda para seleccionar a los pacientes, hoy en d\u00eda existen <b>pruebas de cribado r\u00e1pidas con un valor predictivo alto<\/b> que pueden detectar la presencia de estreptococo b-hemol\u00edtico del grupo A, principal causante de las infecciones bacterianas en las am\u00edgdalas, y ayudar a actuar en consecuencia.<\/p>\n<figure id=\"attachment_5640\" aria-describedby=\"caption-attachment-5640\" style=\"width: 219px\" class=\"wp-caption alignright\"><a href=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2014\/03\/mal-de-gola.jpg\"><img decoding=\"async\" class=\"size-medium wp-image-5640\" alt=\"mal de gola\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2014\/03\/mal-de-gola-219x300.jpg\" width=\"219\" height=\"300\" \/><\/a><figcaption id=\"caption-attachment-5640\" class=\"wp-caption-text\">Gu\u00eda de actuaci\u00f3n farmac\u00e9utica en dolor de garganta editada por el Consell y el Departament de Salut<\/figcaption><\/figure>\n<p>La <b><a href=\"http:\/\/blog.cofb.cat\/neix-la-primera-guia-dactuacio-farmaceutica-en-mal-de-gola\/\" target=\"_blank\" rel=\"noopener\">Gu\u00eda de actuaci\u00f3n farmac\u00e9utica en dolor de garganta<\/a> es un protocolo que describe una actuaci\u00f3n farmac\u00e9utica y promueve el desarrollo profesional continuado y protocolizado<\/b>, es fruto de la planificaci\u00f3n estrat\u00e9gica de un nuevo modelo de farmacia comunitaria que ha puesto en marcha el Consejo de Colegios Farmac\u00e9uticos de Catalu\u00f1a y el Departamento de Salud y el resultado del trabajo consensuado y el esfuerzo conjunto de diferentes profesionales y sociedades cient\u00edficas del \u00e1mbito farmac\u00e9utico y m\u00e9dico en el marco de convenios de colaboraci\u00f3n interprofesional. Esta gu\u00eda <b>incorpora como novedad la realizaci\u00f3n del test Strep A que permite descartar con certeza una etiolog\u00eda bacteriana<\/b>: frente a un resultado negativo podremos descartar la presencia de infecci\u00f3n por estreptococo con un alto grado de seguridad.<\/p>\n<p>Para profundizar en la cl\u00ednica del dolor de garganta, conocer y aplicar correctamente la gu\u00eda de actuaci\u00f3n farmac\u00e9utica en una consulta por este s\u00edntoma, mejorar la intervenci\u00f3n en la indicaci\u00f3n farmac\u00e9utica y saber utilizar el test Strep A, el COFB organiz\u00f3 un taller el pasado 4 de febrero.<\/p>\n<figure id=\"attachment_19400\" aria-describedby=\"caption-attachment-19400\" style=\"width: 306px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2016\/02\/taller-mal-de-gola-strept-6.jpg\"><img decoding=\"async\" class=\"wp-image-19400\" alt=\"taller-mal-de-gola-strept (6)\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2016\/02\/taller-mal-de-gola-strept-6.jpg\" width=\"306\" height=\"204\" \/><\/a><figcaption id=\"caption-attachment-19400\" class=\"wp-caption-text\">El farmac\u00e9utico comunitario Xavier Boleda<\/figcaption><\/figure>\n<div class=\"box shadow\">&#8220;<b>El dolor de garganta es uno de los motivos de consulta m\u00e1s frecuentan farmacia comunitaria<\/b>, y en atenci\u00f3n primaria. Su origen, en la mayor\u00eda de los casos, es v\u00edrico y por tanto su evoluci\u00f3n es auto limitada y no requiere, de ning\u00fan tratamiento antibi\u00f3tico. Sin embargo, tanto en la farmacia comunitaria, como en la atenci\u00f3n primaria, suele existir una presi\u00f3n importante para que este problema, leve pero molesto, sea resuelto de forma r\u00e1pida y eficaz. <b>La falsa percepci\u00f3n por parte de muchos pacientes<\/b>, que este tipo de patolog\u00eda debe resolverse con tratamientos antibi\u00f3ticos, la presi\u00f3n asistencial, y exceso de precauciones,<b> hace que se prescriban antibi\u00f3ticos, en la mayor\u00eda de los casos innecesarios<\/b>\u201d explica <b>Xavier Boleda, farmac\u00e9utico comunitario en Barcelona, miembro del Grupo de Respiratorio de SEFAC y uno de los docentes de la formaci\u00f3n<\/b>.<\/p>\n<p>Una prescripci\u00f3n excesiva de antibi\u00f3ticos, y un uso incorrecto de \u00e9stos, favorecen la aparici\u00f3n de resistencias que, si bien en la comunidad pueden no ser vitales, s\u00ed lo son en el \u00e1mbito hospitalario. \u201cEs necesario que desde la farmacia comunitaria se conozca bien esta patolog\u00eda y las t\u00e9cnicas para identificarla. <strong>El a<\/strong><b>plicaci\u00f3n de t\u00e9cnicas de diagn\u00f3stico r\u00e1pido como el Strep A permiten identificar aquellos casos a los que se sospecha que la infecci\u00f3n es de origen bacteriano <\/b>y, por tanto, a los que es necesario derivar al m\u00e9dico para que valore la necesidad de prescribir un tratamiento antibi\u00f3tico. En la mayor\u00eda de los casos, la aplicaci\u00f3n de medidas higi\u00e9nicas y medicaci\u00f3n paliativa es suficiente\u201d, matiza Boleda.<\/div>\n<p>Im\u00e1genes del taller con el test Strep A:<\/p>\n\n<p>El equipo docente lo agasajaron Josep M. Cots, m\u00e9dico de familia y miembro del Grupo de Trabajo de Enfermedades Infecciosas de la semFYC, Maria Estrada, farmac\u00e9utica del Departamento de Formaci\u00f3n y Desarrollo Profesional del COFB, Antoni Ramon, farmac\u00e9utico sustituto de Barcelona, y Belen Soria, farmac\u00e9utica sustituta de Matar\u00f3. Merc\u00e8 Barau, vocal de la Junta de Gobierno del COFB, coordin\u00f3 el taller.<\/p>\n<figure id=\"attachment_19394\" aria-describedby=\"caption-attachment-19394\" style=\"width: 583px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2016\/02\/taller-mal-de-gola-stept.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-19394\" alt=\"taller-mal-de-gola-stept\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2016\/02\/taller-mal-de-gola-stept.jpg\" width=\"583\" height=\"311\" \/><\/a><figcaption id=\"caption-attachment-19394\" class=\"wp-caption-text\">Merc\u00e8 Barau, vocal del COFB y coordinadora de la formaci\u00f3n, presenta el taller en el sal\u00f3n de actos del COFB. En la mesa, de izquierda a derecha: Josep M. Cots, Xavier Boleda, Cristina Rodr\u00edguez (jefe del Departamento de Formaci\u00f3n y Desarrollo Profesional del COFB) y Maria Estrada<\/figcaption><\/figure>\n<p><b>Para m\u00e1s informaci\u00f3n:<\/b><\/p>\n<p><a href=\"http:\/\/blog.cofb.cat\/neix-la-primera-guia-dactuacio-farmaceutica-en-mal-de-gola\/\" target=\"_blank\" rel=\"noopener\">Nace la primera Gu\u00eda de actuaci\u00f3n farmac\u00e9utica en dolor de garganta<\/a> (Blog)<\/p>\n<p style=\"text-align: right;\"><b>Con la colaboraci\u00f3n de:<\/b><\/p>\n<p align=\"right\">\u00a0<a href=\"http:\/\/www.leti.com\/es\/\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-19319\" alt=\"LETI-logo\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2016\/02\/LETI-logo.jpg\" width=\"144\" height=\"62\" \/><\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Cuando un paciente se presenta en la farmacia con molestias en la garganta, el motivo de consulta es la presencia de dolor en el momento de deglutir, un dolor que puede ser m\u00e1s o menos intenso. Aunque son muchas las patolog\u00edas que pueden provocar este s\u00edntoma, la causa m\u00e1s [\u2026]<\/p>","protected":false},"author":1,"featured_media":19469,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[57],"tags":[64,2320,76,2149,2321],"class_list":["post-19316","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mon-collegial","tag-atencio-farmaceutica","tag-mal-de-gola","tag-oficina-de-farmacia","tag-publicacions","tag-test-strep-a"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Actuaci\u00f3 farmac\u00e8utica en mal de gola - Col\u00b7legi de Farmac\u00e8utics de Barcelona<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/novaorg.cofb.net\/2016\/02\/18\/actuacio-farmaceutica-en-mal-de-gola\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Actuaci\u00f3 farmac\u00e8utica en mal de gola - Col\u00b7legi de Farmac\u00e8utics de Barcelona\" \/>\n<meta property=\"og:description\" content=\"Quan un pacient es presenta a la farm\u00e0cia amb mol\u00e8sties a la gola, el motiu de consulta \u00e9s la pres\u00e8ncia de dolor en el moment de deglutir, un dolor que pot ser m\u00e9s o menys intens. 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