Implementación del Sistema de Farmacovigilancia en Pacientes de Hospitalización del Area de Clínica y Ginecología en el Instituto Ecuatoriano de Seguridad Social IESS - Riobamba

Abstract

The present investigation was made in ihe Instituto Ecuatoriano de Seguridad Social in the Clinic and Gynecology Service to implement a Medicine care System inside this service, achieving to evaluate, understand, and prevent Adverse Reactions to Medicines (RAM), 10 improve the control of medical prescriptions and to optimize economic and human resources, An intensive Medicine care System was applicd centered in the patient the invaluable support of the Unit Dose Dispensation system implemented previously in áhis service inside the Satellite Pharmacy, what helped to have an absolute control in medical dispensaron. Tools were employed such as medical historics review, control of daily and general Medical Visits, Review of the System AX 400, etc. A retrospectivo study was carried out on illnesses that had greater frequency as for hospitalization reasons, resuliing in Endocrine System ¡lInesses such as Diabetes Mellitus IE (DMI!) and Hypothyroidism, and of the Cardiovascular System like Congestive heart failure (ICC), sharp and chronic Arterial Hypertension (HTA) and their respective complications. In order to interpret the results, frequencies analysis were used. The following results were obtained, during the investigation period (December 2009 - March 2010) 39 cases of RAM were detected representing 4.75%. Women presentad a higher percentage RAM, 64%. The presence of RAM is intimately connected with the: abuse of medicine 79% RAM, 38% of the RAM was presented in the Cardiovascular System, the Salicylic Acetyl Acid was the medicine that presented greater frequency RAM. The Medicine care System was implemented notifying presence of RAM in patients of this service and promoting investigation on the reality of our population. le is recommended to continué with this type of investigations that is a uscful tool for pharmacological treatment administration and medicines effectiveness evaluation.