Inappropriate prescribing of proton pump inhibitors in primary care

被引:157
作者
Batuwitage, Bisanth Thushila [1 ]
Kingham, Jeremy G. C. [1 ]
Morgan, Nia Emma [1 ]
Bartlett, Ruth Louise [1 ]
机构
[1] Singleton Hosp, Dept Med, Swansea SA2 8QA, W Glam, Wales
关键词
D O I
10.1136/pgmj.2006.051151
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To determine if an educational intervention initiated in secondary care can influence prescribing of proton pump inhibitors (PPIs) in the community. Methods: A prospective study of PPI use in patients admitted to medical wards in a university hospital. A simple educational intervention was employed to reduce inappropriate prescribing of PPIs in the community. Results: In the pre-intervention analysis 66/271 (24%) patients were receiving treatment with a PPI prescribed in the community. In 36/66 (54%) patients the PPI had been prescribed inappropriately. Six months after the intervention 91/344 (26%) patients were prescribed a PPI in the community. In only 45 of these 91 (49%) patients was there a recommended indication. Conclusion: The intervention used in this study had no effect on the proportion of patients taking a PPI at the time of hospital admission or on the appropriateness of prescribing in the community.
引用
收藏
页码:66 / 68
页数:3
相关论文
共 23 条
[1]   Quality improvement report - Improving surveillance for Barrett's oesophagus [J].
Bampton, Peter A. ;
Schloithe, Anne ;
Bull, Jeff ;
Fraser, Robert J. ;
Padbury, Rob T. A. ;
Watson, David I. .
BMJ-BRITISH MEDICAL JOURNAL, 2006, 332 (7553) :1320-1323
[2]  
Banait G, 2003, BRIT J GEN PRACT, V53, P94
[3]  
*BNF, 2005, 51 BNF, P48
[4]   Effect of implementation of a dyspepsia and Helicobacter pylori eradication guideline in primary care [J].
Cardin, F ;
Zorzi, M ;
Bovo, E ;
Guerra, C ;
Bandini, F ;
Polito, D ;
Bano, F ;
Grion, AM ;
Toffanin, R .
DIGESTION, 2005, 72 (01) :1-7
[5]   Proton pump inhibitors as a risk factor for Clostridium difficile diarrhoea [J].
Cunningham, R ;
Dale, B ;
Undy, B ;
Gaunt, N .
JOURNAL OF HOSPITAL INFECTION, 2003, 54 (03) :243-245
[6]   Use of gastric acid-suppressive agents and the risk of community-acquired Clostridium difficile-associated disease [J].
Dial, S ;
Delaney, JAC ;
Barkun, AN ;
Suissa, S .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (23) :2989-2995
[7]   Proton pump inhibitors and their drug interactions: an evidence-based approach [J].
Gerson, LB ;
Triadafilopoulos, G .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2001, 13 (05) :611-616
[8]  
Grime J, 2001, BRIT J GEN PRACT, V51, P703
[9]  
Laheij RJ, 2004, JAMA-J AM MED ASSOC, V292, P2012
[10]   Gastric acid-suppressive therapy and community-acquired respiratory infections [J].
Laheij, RJF ;
Van Ijzendoorn, MC ;
Janssen, MJR ;
Jansen, JBMJ .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2003, 18 (08) :847-851