Análisis del uso racional de gastroprotectores en el área de cirugía del Hospital General Docente Ambato

Abstract

The aim of the present work was to analyze the rational use of gastroprotectants in the surgery area of the Hospital General Docente Ambato during January - June 2020, in this work a descriptive and retrospective study was used, population corresponded to the review of 325 medical records of patients with digestive pathologies who were admitted to the surgery service. The sample corresponds to 250 medical records that met the inclusion criteria specified for the study. The results obtained showed that patients aged 21 to 25 have more surgical procedures, it is 27.6%. It was identified that the gastroprotectants with the greatest administration are omeprazole, that belongs to the Proton Pump Inhibitors (PPI) and ranitidine, that is an H2 receptor antagonist, which are responsible for the protection of the gastric mucosa of some type of irritating agent, it was also determined that the most frequent pathologies in the surgery service are those related to the appendix and gallbladder such as appendicitis, cholecystitis, cholelithiasis and cholecystitis plus cholelithiasis. The analysis of the rational use of gastroprotectants showed that 89.2% had a correct prescription and administration of the gastroprotectant treatment by the treating physicians, complying with the protocols and therapeutic guidelines. The drug-related problems (DRPs) revealed that 0.4% corresponds to a DRP of probability of adverse effects that the administration of gastroprotectants can produce, based on the results obtained, a training to the Hospital General Docente Ambato staff was carried out in order to publicize the importance of the proper use of gastroportectants. In addition, it is recommended to implement a specific protocol for these drugs.