title: [Frequency of proton pump inhibitor prescription based in clinical practice guidelines in hospitalized patients in two academic hospitals in Lima, Peru].
abstract: OBJECTIVE
  To evaluate if Proton Pump Inhibitor (PPI) prescription is based in Clinical Practice Guidelines (CPG) in hospitalized patients at two academic hospitals of Lima.
  
  
  METHODS
  The services of Intern Medicine, Tropical Medicine and General Surgery were visited. Therapeutic sheets and nursing transcript were checked. The prescription motifs were determined in patients who received PPI. These motifs were obtained according to a check list, which was made from different CPG.
  
  
  RESULTS
  54.57% of the PPI prescriptions in the two academic hospitals were not based in CPG. No statistic significant difference was found between the two academic hospitals in the PPI prescription based in CPG (p=0,208). Most of the prescriptions not base on CPG belong to the service of General Surgery (83.6%; p<0.0001). The main indication for the prescription of PPI based on CPG was prevention of NSAIDS induced gastric ulcers if advanced age (65.72%).
  
  
  CONCLUSIONS
  There is a high rate of PPI overuse in two academic hospitals.
authors.affiliation: Servicio de Medicina Interna, Hospital Nacional Cayetano Heredia, Av Honorio Delgado s/n, Lima, Perú.
authors.forename: Katherine Yelenia
authors.initials: KY
authors.lastname: Bustamante Robles
authors.forename: Ray
authors.initials: R
authors.lastname: Ticse Aguirre
authors.forename: Italo Francisco
authors.initials: IF
authors.lastname: Cánepa Rondo
authors.forename: Carmela Giuliana
authors.initials: CG
authors.lastname: Costta Herrera
authors.forename: Sergio
authors.initials: S
authors.lastname: Vasquez Kunze
authors.forename: Leslie
authors.initials: L
authors.lastname: Soto Arquiñigo
authors.forename: Hector
authors.initials: H
authors.lastname: Sosa Valle
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057189:Checklist; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006300:Health Services Misuse / Q000706:statistics & numerical data*; D006760:Hospitalization; D006784:Hospitals, Teaching / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010568:Peru; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D013276:Stomach Ulcer / Q000188:drug therapy / Q000517:prevention & control
chemical_list: D054328:Proton Pump Inhibitors