Evaluación del uso de antiinflamatorios no esteroideos en el servicio de hospitalización del Hospital General Andino en el periodo enero 2017 a julio del 2018.

Abstract

The purpose of this study was to evaluate the use of anti-inflammatory drugs in the hospitalization service of the Hospital General Andino from 2017 to July 2018. In order to conduct this process, a retrospective analysis of 204 clinical histories was carried out, collecting data from patients whose information included: gener, age, diagnosis, área of attention, NSAIDs (Non-esteridal Antiflammatories) received as part of the therapy, administration routes. and duration of treatment.The drug interactions presented were mainly analysed the agreement of the treatment with the therapeutic protocols approved by the Ministry of Public Health of Ecuador, and the existence of PRM(problems related to medicines) categorizing them in accordance with the Second Consensus of Granada.A percentge of 41.18%of the medical records belonged to womwn. The largest number of patients was rounding ages of 54 and 81years.As a result, 286NSAIDs prescriptions were determined, being paracetmol the most used (56.64%), ketorolac (26.92%), ibuprofen (10.14%), diclofenac (5.94%) and acetylsalicylic acid (0. 35%).Seven drug interactions were detected, from which diclofenac and ibuprofen werw involved. A 54.41% of the treatments did not match the national therapeutic protocols. There were 124 cases of PRM, from which 55.58% are attributed ti unnecessary medication, followed by quantitative insecurity (2.94%) and quantitative insecurity (1.965). It is recommended to carry out prospective studies with pharmacotherapeutic monitoring in several áreas of the hospital, as well as to achieve a consensus regarding to the therapeutic protocols to be used in order to increases the quality of the service, as well as the efficacy, and safety of the procedures performed.