Stress Ulcer Prophylaxis use in the Intensive care Unit before and after House Staff Education.

Nikhil Meena, Marcus Costner, Manish Joshi
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Abstract

Purpose: We hypothesize that stress ulcer prophylaxis with acid suppressant medications (ASM) is overused and educating house-staff will decrease this.

Methods: Retrospective chart review in two six-month phases. House staff was educated prior to phase II. Rates of SUP were calculated for ICU stay, medicine floor, and at discharge.

Results: There were 625 ICU admissions. Analysis was done on 106 and 118 patients in each phase. SUP use decreased from 62% to 37% in patients with no indications (p value < 0.01).

Conclusion: Education can have a significant impact on the appropriate use of medications. Even after this significant decrease, rates of inappropriate usage could be considered unacceptable.

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压力性溃疡预防在重症监护室职员教育前后的应用。
目的:我们假设用抑酸药物预防应激性溃疡(ASM)被过度使用,教育医务人员可以减少这种情况。方法:分两个阶段进行回顾性图表复习。在第二阶段之前,学院的工作人员都受过教育。计算ICU住院、用药楼层和出院时的SUP发生率。结果:ICU住院625例。每个阶段分别对106例和118例患者进行分析。无指征患者SUP使用率从62%降至37% (p值< 0.01)。结论:教育对药物的正确使用有重要影响。即使在这一显著下降之后,不适当使用的比率仍被认为是不可接受的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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