Stress ulcer prophylaxis guidelines:Are they being implemented in Lebanese health care centers?

• 作者: Abeer Zeitoun Hani Dimassi Maya Zeineddine
• 来源期刊: 世界胃肠药理与治疗学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Stress ulcer PROPHYLAXIS LEBANESE hospitals Proton-pump inhibitors HISTAMINE 2 receptor antagonists American Society of Health-System PHARMACISTS GUIDELINES
• 年，卷（期）: 2011,（4）
• 页码范围: 27-35
• 页数: 9页
• 分类号: R573.1

摘要

AIM:To evaluate the current practice of stress ulcer prophylaxis (SUP) in Lebanese Health care centers.METHODS:A multi-center prospective chart review study was conducted over 8 mo.A questionnaire was distributed to pharmacy students who collected data on demographics,SUP medications,dose,route,duration and associated risk factors.The appropriateness of SUP use was determined as per American Society of Health-System Pharmacists guidelines.Institutional review board approval was obtained from each hospital center.RESULTS:A total of 1004 patients were included.67% of the patients who received prophylaxis did not have an indication for SUP.The majority (71.6%) of the patients who were administered parenteral drugs can tolerate oral medications.Overall,the regimen of acid-suppressant drugs was suboptimal in 87.6% of the sample.This misuse was mainly observed in non-teaching hospitals.CONCLUSION:This study highlighted the need,in Lebanese hospitals,to establish clinical practice guidelines for the use of SUP;mainly in non-critical care settings.