Análisis de la dispensación de medicamentos corticoesteroides e intervención farmacéutica a pacientes adultos en el área de consulta externa de traumatología del Hospital Básico Inginost de la ciudad de Riobamba, Ecuador

Abstract

Corticosteroids constitute a therapeutic arsenal by acting as anti-inflammatories, being an integral part of pharmacological management. Medication dispensing is a useful tool for the patient to know the correct use of prescribed drugs. That is why this titration work carried out in the pharmacy service of the INGINOST Cia Ltda Basic Hospital, firstly, analyzed the dispensing of corticosteroid medications; and, secondly, a pharmaceutical intervention was developed through a quasi-experimental design in order to evaluate whether the participants' knowledge changed before and after the intervention. The results reported that the necessary advice is not provided for proper use of corticosteroids, the medications prescribed by the doctor do not coincide with what is recommended in the pertinent therapeutic guidelines. After the pharmaceutical intervention, the participants acquired more solid knowledge about the correct use of the prescribed medications as well as a guide on how to use them appropriately with recommendations on adverse effects and interactions. Therefore, it was concluded that the main corticosteroid dispensed was Betamethasone Dipropionate, Betamethasone Phosphate 2mg+5mg, this drug was prescribed in the majority of participants, reaching 70%. Taking into account the results and applying Mcnemar's statistical test, it was possible to show that, with p < 0.05, there were significant changes in knowledge about the use of corticosteroid medications.