Inappropriate prescribing of proton pump inhibitors in primary care

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.

 

HuisartsengeneeskundeEducational gatheringsEducational literature distributionsFeedbackBehandeling medicatie

 

Auteurs

Batuwitage BT
Kingham JG
Morgan NE
Bartlett RL

 

Link

https://www.ncbi.nlm.nih.gov/pubmed/17267683