Seguimiento farmacoterapéutico e identificación de reacciones adversas a medicamentos en pacientes con infecciones respiratorias agudas atendidos en hospitalización del Hospital Pediátrico Alfonso Villagómez Román.

Abstract

The objective of the present investigation was to carry out the Pharmacotherapeutic Follow-up and identification of adverse drug reactions in patients with acute respiratory infections attended in the Alfonso Villagómez Román Pediatric Hospital during the period March-August 2014. The pharmacotherapeutic monitoring service was applied based on The Dader method mainly accompanied by methods of induction - deduction and scientific - experimental. We used instruments such as medical records that were reviewed daily, admission to visits with the medical team, interviews and training of the representatives because they were pediatric patients. We worked with 50 patients from the respiratory clinic room of the hospitalization area in which it was possible to determine that the most frequent diseases were Acute Pneumonia, corresponding to 48%, and Bronchopneumonia 34%, we detected 32 problems related to medications (PRMs) of which 21 were solved, most of them corresponded to problems of effectiveness representing 50%, followed by those of safety with 34% and problems of necessity with 16% were also identified 11 Adverse Drug Reactions ADRs) of which 64% were type B and type A representing 34%, most of the adverse reactions were due to drug interactions corresponding to 37%, achieving a total recovery in 100% of the cases. In conclusion, the Pharmacotherapeutic Follow-up was used to identify and report the PMRs to the medical team and the ADRs on the Yellow Card to reduce and solve these problems related to medication, promoting the rational use of medicines and improving the quality of life of patients . It is recommended to continue applying Pharmacotherapeutic Monitoring System in pediatric patients since they constitute a risk group.