Evaluación del uso racional de gastroprotectores en el área de consulta externa del centro de salud CEBYCAM-CES, Penipe

Abstract

The aim of this research was to evaluate the rational use of gastroprotectants in the outpatient area of the CEBYCAM-CES health center, Penipe, Chimborazo county, during January-December 2020, in addition, gastroprotectants of greater use were identified and some DRPs (Drug-Related Problems) were decreed. For the investigation, data was collected through an Excel 2016 file, it was based on the patient's data (age, gender, weight and comorbidity), diagnosis and medical prescription (type of drug, dose, frequency and route of administration), in accordance with the inclusion and exclusion criteria, a sample size of 159 medical records was obtained, which were analyzed with IBM SPSS 23 statistical software, this focused on relating the proposed variables, in accordance with the data obtained and through observation, some DRPs and some possible NRMs consequences were decreed (Medication negative results), thanks to this, the rational use of gastroprotectants was evaluated, based on this some comparisons were made with other studies and medical personnel were trained. The results were 244 diagnosed pathologies in which gastroprotectants agents were prescribed, the one with the highest incidence was acute gastritis (27.9%) and the most commonly used gastric protectants were ranitidine (22.1%), omeprazole (48.0%) and pantoprazole (29.9%); 3 DRPs were observed: prescription error (54.8%), inappropriate dose, regimen and/or duration (40.7%) and insufficiently treated health problem (4.5%); the medical staff was evaluated on the rational use of gastroprotectants at the beginning (36.6%) and at the end (100%) of the training. It was concluded that there was an irrational use of gastroprotectants (72.56%) either due to lack of prescription or because they were prescribed without any need for the patient. It is recommended to have at least two training sessions a year on the rational use of gastroprotectants.