Evaluación del Uso Racional de Analgésicos en el Área de Traumatología del Hospital General Francisco de Orellana

Abstract

The research was carried out at the Francisco de Orellana General Hospital, from October 2019 - February 2020 and with the purpose of evaluating the rational use of analgesics in traumatology unit at the Francisco de Orellana General Hospital, Orellana province. A retrospective, cross-sectional study was carried out and the data from 116 medical records were analyzed, information on age, gender, diagnosis, prescribed analgesics with their doses, pharmaceutical form, route of administration and duration of treatment was collected. It was considered if the therapeutic protocol imposed by the Ministry of Public Health of Ecuador (MPH) is met, the interactions and problems related to analgesic drugs in therapy, categorizing it according to the Second Council of Granada. It was found that 75.86% did not comply with the MSP protocol. The most frequent cause of admissions to the trauma area was due to fractures in the lower limbs of the body with 41.38%. In analgesic therapy, 40.17% correspond to the use of tramadol and 28.03% to ketorolac; being administered in combination or individually. The prescription of analgesics was 51.72% of rational use, so there is still a deficiency in the control of analgesics in the traumatology area. A more exhaustive study on the rational use of analgesics in various care services of the Francisco de Orellana General Hospital is recommended.