PRACTICES OF PROTON PUMP INHIBITORS USE IN MEDICAL WARDS

Proton Pump Inhibitors

  • Ghias Ul Hassan Lahore General Hospital Lahore Pakistan,
  • Israr Ul Haque Ameer Ud Din Medical Collage/PGMI Lahore Pakistan
  • Muhammad Asim Hameed Ameer Ud Din Medical Collage/PGMI Lahore Pakistan
  • Farwah Javed Ameer Ud Din Medical Collage/PGMI Lahore Pakistan
  • Asif Mehmood Ameer Ud Din Medical Collage/PGMI Lahore Pakistan
  • Muhammad Shafiq Ameer Ud Din Medical Collage/PGMI Lahore Pakistan
  • Bilal Nasir Ameer Ud Din Medical Collage/PGMI Lahore Pakistan
  • Ghias Ul Nabi Tayyab Ameer Ud Din Medical Collage/PGMI Lahore Pakistan
Keywords: Inpatients, Medical ward, Practices, Proton pump inhibitors

Abstract

Objective: To determine the pattern of proton pump inhibitors (PPIs) use in medical wards.
Study Design: Prospective observational study.
Place and Duration of Study: Department of medical post graduate medical institute, study for 24 weeks, from 01 Nov 2014.
Material and Methods: One thousand eight hundred consecutive patients admitted in medical wards and emergency department were enrolled and followed during hospital stay and their discharge slips were analyzed without intervention in the management protocol of different primary consultants.
Results: Results were analyzed on SPSS version 20. Out of 1800 patients, 53.3% (n=960) were males and 46.7% (n=840) females, 72.6% (n=1306) had been prescribed PPIs. Major indications for the use of PPI were stress ulcer prophylaxis (32.5%), upper G.I bleeding (20.0%), acid peptic disease (12.5%), patients of GERD (8.1%) and NSAID use (7.5%). In 19.3% patients, indication of PPI use was not mentioned. Out of the admitted patients 57.7%
patients were prescribed inject-able and 42.3% were given oral PPIs. There were 77.9% (n=1018) patients prescribed PPIs on discharge slips while duration of treatment and indication for their use were not mentioned on discharge slips for 66.3% (n=866) and 72.3% (n=944) patients, respectively.
Conclusion: PPIs are over used without clear indications in hospitalized and discharged patients.

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Published
2017-08-30
How to Cite
Hassan, G. U., Haque, I. U., Asim Hameed, M., Javed, F., Mehmood, A., Shafiq, M., Nasir, B., & Nabi Tayyab, G. U. (2017). PRACTICES OF PROTON PUMP INHIBITORS USE IN MEDICAL WARDS. PAFMJ, 67(4), 524-28. Retrieved from https://pafmj.org/index.php/PAFMJ/article/view/636
Section
Original Articles