Inappropriate prescribing of proton pump inhibitors in primary care
- PMID: 17267683
- PMCID: PMC2599965
- DOI: 10.1136/pgmj.2006.051151
Inappropriate prescribing of proton pump inhibitors in primary care
Abstract
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.
Conflict of interest statement
There are no competing interests.
References
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- National Institute for Clinical Excellence Guidance on the use of proton pump inhibitors in the treatment of dyspepsia. July 2000
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- National Institute for Clinical Excellence Management of dyspepsia in adults in primary care. August 2004, revised July 2005
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- Naunton M, Peterson G M, Bleasel M D. Overuse of proton pump inhibitors. J Clin Pharm Ther 200025333–340. - PubMed
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- Nardino R Vender R J, Herbert P N. Overuse of acid‐suppressive therapy in hospitalised patients. Am J Gastroenterol 2000953118–3122. - PubMed
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