Prescribing trends of non-steroidal anti-inflammatory drugs in a tertiary care hospital in the middle Anatolia

Öz

Background: Non-steroidal anti-inflammatory (NSAI) drugs are widely used for their analgesic, antipyretic and antiinflammatory effects. The aim of this study is to evaluate the prescribing trends of NSAI drugs among the doctors working the outpatients clinics in our hospital.

Materials and methods: Questionnaires consisting of 10 questions related to analgesic and NSAI drug preferences were applied to the doctors working the medical and surgery outpatient clinics in a tertiary care hospital in the Middle Anatolia, and data was collected.

Results: The frequency of prescription of NSAI drug in our hospital were found 34,5%. In the internal and surgical departments, respectively, most often diclofenac (23.1%) and dexketoprofen (43.5%) were being prescribed. The most frequent cause of prescribing was joint pain (57,7%) in the internal departments and postoperative pain (73,9%) in the surgical departments. 

Conclusion: Unnecessary use of NSAI drugs should be avoided because of the high side effect risk despite it's efficacy and benefits and our knowledge of these drugs we prescribe frequently must be updated.

Anahtar Kelimeler

• Non-steroidal anti-inflammatory,prescription,analgesic

Orta Anadoluda Üçüncü Basamak Bir Hastanede Non-Steroid Anti-İnflamatuar İlaç Reçeteleme Tercihleri

Öz

Giriş: Non-Steroid Anti-inflamatuar (NSAİ) ilaçlar analjezik, antipiretik ve antiinflamatuar etkileri nedeniyle yaygın olarak kullanılan ilaçlardır. Çalışmanın amacı hastanemizde poliklinik hizmeti veren doktorlarımızın NSAİ ilaç reçeteleme alışkanlıklarını ve tercihlerini gözden geçirmektir.

Gereç ve yöntem: İç Anadolu’da üçüncü basamak bir hastanede dahili ve cerrahi branşlarda çalışan ve poliklinik hizmeti veren doktorlarımıza ağrı kesici ve NSAİ ilaç tercihleri ile ilişkili 10 sorudan oluşan anket uygulanmış ve veriler toplanmıştır.

Bulgular: Hastanemizde NSAİ ilaç reçete etme sıklığı %34,5 saptandı. Dahili ve cerrahi bölümlerde sırasıyla en sık diklofenak (%23,1) ve deksketoprofen (%43,5) reçete edilmekte idi. En sık reçeteleme sebebi dahili branşlarda eklem ağrısı (%57,7), cerrahi branşlarda ise postoperatif ağrı (%73,9), en sık karşılaşılan yan etki ise gastrointestinal sistem yakınmaları idi. 

Sonuç: Yüksek etkinliği ve faydaları yanında yan etki riski de yüksek olan NSAİ ilaçların gereksiz kullanımından kaçınılmalı ve çok sık reçetelediğimiz bu ilaçlar konusundaki bilgilerimiz güncellenmelidir.

Anahtar Kelimeler

• Non-steroid anti-inflamatuar,reçete,analjezik

Kaynakça

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