Análisis Del Uso Racional De Analgésicos En El Área De Consulta Externa Del Centro Clínico Quirúrgico Ambulatorio FIBUSPAM

Abstract

The aim of this work was to analyze the rational use of analgesics in the outpatient department of the FIBUSPAM Ambulatory Surgical Clinical Center during July- December 2019; for this, a non-experimental, descriptive, cross-sectional and retrospective design was used, based on the inclusion criteria and demographic variables such as: age, gender, the most prevalent pathology and the most prescribed analgesics. A total of 445 prescriptions and medical records were analyzed to verify if the treatment used was correct; the pathology treated was compared with the therapeutic protocol of the MSP (Ministerio de Salud Pública) of Ecuador, resulting the post-surgical pain as the most prevalent pathology; on the other hand, among 3,820 dispensed analgesics, the most prescribed were: diclofenac (50.03%), ibuprofen (14.19%), and paracetamol (10.97%), it was determined that all of the patients received treatment with at least one analgesic and a (48.31%) with two or more analgesics together. It was concluded that (87%) of the prescriptions were not adjusted to what was suggested by the 2012 therapeutic protocol and the prescriptions were established under the doctor's criteria, therefore in the FIBUSPAM Ambulatory Surgical Clinical Center there is no rational use of analgesics in the outpatient department. Confronted with this problem, an information talk about the rational use of analgesics for health personnel is recommended, in addition to promoting pharmacotherapeutic monitoring and encouraging the rational use of ANALGESICS in order to avoid self-medication and, care for the patients’ health.