Riesgo por automedicación con aines en pacientes con dengue y sus consecuencias en la evolución clínica
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El objeto de este estudio es identificar las principales complicaciones del dengue que se producen por automedicación con AINES, mediante la recolección de datos estadísticos de los pacientes que fueron ingresados en el Hospital de Infectología, para promover una mejor concientización en la comunidad. El motivo por el que se realizó el presente estudio es que, en el periodo de tiempo investigado se reportó que, de los pacientes que son diagnosticados con dengue con signos de alarma y dengue grave, la mayoría se han automedicado representado un 61% de la población en general. El estudio es de tipo descriptivo, retrospectivo, no experimental, de corte transversal. Se emplea muestra de 120 pacientes con diagnóstico de dengue. Se utilizó los programas Excel y SPSS para la elaboración de gráficos y tablas. Los resultados muestran que los pacientes diagnosticados con dengue con signos de alarma y dengue grave en su mayoría se automedicaron con AINES, y tuvieron varias complicaciones en su evolución clínica, entre ellas el dolor abdominal (74%), vómitos y diarreas persistentes (68% y 47%), acompañados de signos de shock como frialdad de extremidades (21%), y alteraciones de laboratorio siendo la más frecuente la plaquetopenia (92%) y la Poliserositis como hallazgo imagenológico más frecuente (37%). Se concluye que la automedicación con AINES tiene repercusiones negativas en la evolución de esta patología, pues promueve distintas complicaciones que ponen el riesgo la vida del paciente.
The purpose of this study is to identify the main complications of dengue that occur due to self-medication with NSAIDs, by collecting statistical data from patients who were admitted to the Infectology Hospital, to promote better awareness in the community. The reason why the present study was carried out is that, in the period investigated, it was reported that, of the patients who are diagnosed with dengue with warning signs and severe dengue, the majority have self-medicated, representing 61% of the population. usually. The study is descriptive, retrospective, non-experimental, cross-sectional. A sample of 120 patients diagnosed with dengue is used. The Excel and SPSS programs were translated for the preparation of graphs and tables. The results show that patients diagnosed with dengue with warning signs and severe dengue mostly self-medicated with NSAIDs, and had various complications in their clinical evolution, including abdominal pain (74%), vomiting and persistent diarrhea (68%). and 47%), accompanied by signs of shock such as cold extremities (21%), and laboratory abnormalities, the most frequent being thrombocytopenia (92%) and Polyserositis as the most frequent imaging finding (37%). It is concluded that self-medication with NSAIDs has negative repercussions on the evolution of this pathology, since it proposes different complications that put the patient's life at risk
The purpose of this study is to identify the main complications of dengue that occur due to self-medication with NSAIDs, by collecting statistical data from patients who were admitted to the Infectology Hospital, to promote better awareness in the community. The reason why the present study was carried out is that, in the period investigated, it was reported that, of the patients who are diagnosed with dengue with warning signs and severe dengue, the majority have self-medicated, representing 61% of the population. usually. The study is descriptive, retrospective, non-experimental, cross-sectional. A sample of 120 patients diagnosed with dengue is used. The Excel and SPSS programs were translated for the preparation of graphs and tables. The results show that patients diagnosed with dengue with warning signs and severe dengue mostly self-medicated with NSAIDs, and had various complications in their clinical evolution, including abdominal pain (74%), vomiting and persistent diarrhea (68%). and 47%), accompanied by signs of shock such as cold extremities (21%), and laboratory abnormalities, the most frequent being thrombocytopenia (92%) and Polyserositis as the most frequent imaging finding (37%). It is concluded that self-medication with NSAIDs has negative repercussions on the evolution of this pathology, since it proposes different complications that put the patient's life at risk
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Dengue, Factores de riesgo, Rayos X, Hospital de Infectología Dr. José Daniel Rodríguez Maridueña, Cantón Guayaquil, Ecuador