Análise de prescrições e o impacto econômico de inibidores da bomba de prótons em um hospital universitário

Abstract

Prescription and inappropriate use of medication generate expenses that further aggravate the problem of the lack of resources of most health services, as well as the harm they can cause to patients. In practice, some of the most common irrational uses of medications are excessive prescriptions of antibiotics, proton pump inhibitors (PPIs), and glucocorticoids. This study aimed to analyze the profile of PPI prescriptions in a university hospital and to evaluate the financial impact of the rational use of this class of medications. This is a cross-sectional, retrospective and descriptive study of the electronic medical records of hospitalized patients who used PPI over a period of 3 months. Having a total mean age of 54.4 years (SD = 17.5). It was observed that 49% of the PPI prescriptions did not have any use criteria, and the cost for this group was R$ 15,164.29 during the analyzed period. This study points to the need to implement internal therapeutic protocols for the use of PPIs, aiming at an appropriate, safe and cost-effective prescription, aiming at a rational use of these drugs.