Evaluación de la prescripción de fármacos para el tratamiento de alteraciones causadas por ácidos en el servicio de medicina general del Centro de Salud Tipo B Santa Rosa-Riobamba

Abstract

The aim of this work was to evaluate the prescription of drugs for the treatment of alterations caused by acids in the general medicine service of Centro de Salud Santa Rosa located in Riobamba city, Chimborazo province, during 2018; by means of a nonexperimental, descriptive and observational study; using tools such as Excel 2017 and the construction of dynamic tables for data analysis. 308 medical records were analyzed that met the inclusion criteria established for the research, where 93.83% of patients were diagnosed with some gastrointestinal disease where gastritis was the most prevalent diagnosed disease with 69.61%, being Helicobacter pylori the main causal agent. In order to evaluate the use of antacid drugs, a correlation between diagnoses and treatments was carried out through the use of Clinical Practice Guidelines, where 33.17% were adequate treatments because they met the correct pharmacological criteria, dose and indication, while 66.83% were inadequate, not meeting any of these criteria. Oral solid omeprazole 20mg was the most prescribed drug with 48.91%. Also, the inconsistencies found in the inadequate treatments of gastritis were analyzed, where it was possible to observe that the criteria of drug, dose and indication together were the ones that had the highest percentage of non-compliance, with 42.35% and it occurred more in young adult patients 38.82% and adults 34.71%. It was determined that there was no rational use of antacids during the study period, due to the findings of inconsistencies and a high percentage of inadequate treatments that were the cause of the appearance of adverse effects in treated patients. Thus, it is recommended to implement internal Clinical Practice Guidelines (CPG) for the rational use and management of antacid drugs, to avoid prescriptionindication errors and consequently provide a better service to the population.