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EVALUATING THE ANALGESIC CONSUMPTION IN A CLINICAL EMERGENCY HOSPITAL

LUCIA GEORGETA DAINA^1*, CORINA NEAMȚU², CRISTIAN MARIUS DAINA¹

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One of the main objectives of the European drug policies is to promote the rational usage of medications. Analgesics were identified as being the group of medicines most frequently prescribed by physicians, in order to release pain. Taking into account all these aspects, the objective of this study was to properly evaluate the analgesic consumption within a major county hospital, in Europe, in order to adequately help doctors in prescribing these drugs. The study was undertaken in the Clinical Emergency County Hospital of Oradea (CECHO), Romania, between 2013 and 2014, into the surgical and intensive care unit (ICU) wards. Within the analysed period, from the total of 88163 people treated, 63.8% were given analgesic treatment, of which 78% were treated on the ICU and surgical wards. Injectable analgesics are the most common (99% on the ICU and 97% on the surgical wards), the most used being metamizole (51.35%), acetaminophen (12.29%), metamizole + pitofenone + fenpipramide and dexketoprofen (11.18% and 7.18% respectively). The median cost of analgesic therapy per treated patient in the surgical and ICU wards was of 3.93 €. The responsible usage of analgesic drugs within the institution considered was achieved through the collaboration between the clinical pharmacist and the doctor, as well as respecting therapeutic protocols and guidelines.