title: Inappropriate Use of Intravenous PPI for Stress Ulcer Prophylaxis in an Inner City Community Hospital.
abstract: BACKGROUND
  Proton pump inhibitors (PPIs) are used for the treatment and prophylaxis of variety of acid peptic conditions including stress ulcers. There has been a persistent practice of their inappropriate use for stress ulcer prophylaxis. Purpose of our study was to measure the inappropriate use of Intravenous Proton Pump Inhibitors for stress ulcer prophylaxis and to estimate the financial burden.
  
  
  METHODS
  We carried out a retrospective, analytic study from July 2008 to June 2009 in internal medicine department. Hospital pharmacy records were used to identify all patients who received IV PPI during hospital stay. Seventy-five percent of records were randomly chosen (n=1104). PPI application was defined as indicated according to AGA guidelines.
  
  
  RESULTS
  Intravenous proton pump inhibitor (IV PPI) was prescribed for 68.5% of patients without any proper indication. The estimated cost of medication for inappropriate IV PPIS use during the study year was 18337 USD.
  
  
  CONCLUSIONS
  A more rational use of PPI will have better impact on health care cost and is likely to add to patient safety.
  
  
  BACKGROUND
  Inappropriate use of PPI; Stress ulcer prophylaxis; Healthcare cost.
authors.affiliation: Department of Medicine, Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Muhammad K
authors.initials: MK
authors.lastname: Perwaiz
authors.forename: Gerald
authors.initials: G
authors.lastname: Posner
authors.forename: Fadi
authors.initials: F
authors.lastname: Hammoudeh
authors.forename: Frances
authors.initials: F
authors.lastname: Schmidt
authors.forename: Narayan
authors.initials: N
authors.lastname: Neupane
authors.forename: Danilo
authors.initials: D
authors.lastname: Enriquez
authors.forename: Neerja
authors.initials: N
authors.lastname: Gulati