Seguimiento farmacoterapéutico e identificación de problemas relacionados con medicamentos en pacientes adultos postquirúrgico con apendicitis aguda en el Hospital Provincial General Docente de Riobamba

Abstract

The main objective of the study was to carry out pharmacotherapeutic follow-up and identify drug-related problems in postoperative adult patients, admitted for Acute appendicitis at the Hospital Provincial General Docente in Riobamba, for which a retrospective, cross-sectional study was carried out; and by means of a descriptive analysis, a database was collected from the medical records, considering different parameters of each patient, as well as the medication prescribed during the hospital stay. The medical records of a total of 151 patients admitted during the period January-June 2020 were reviewed, of which 81% corresponded to young adults and 19% to older adults, the suppurative-type appendicular phase being the most prevalent with 54%. In the institution, seven post-operative antibiotic treatment schemes were used where the administration of Ampicillin plus Sulbactam prevailed in 45.3%, regarding the use of post- operative analgesics, the most used were Ketorolac in 37.3% %, followed by paracetamol with 36.6%. During the hospitalization period, a total of 121 Drug Related Problems (DRP) were detected, where the most recurrent was: Untreated health problem DRP1 (81%), non-quantitative ineffectiveness DRP3 (18.4%), Effect of unnecessary medication DRP2 (1.6%). With the aforementioned results, it was determined that 69.5% of the patients in the study population received inadequate pharmacological treatment. The design of a pharmacotherapeutic follow-up model allowed the detection of DRP in the surgery service, its prompt inclusion as a reference for medical and pharmaceutical personnel in their daily activities is suggested.