The establishment of a strategy for the rational use of injectable omeprazole
Keywords:Omeprazol. Inibidores da Bomba de Prótons. Uso de Medicamentos. Gastropatias. Protocolos Clínicos
Aim: To describe actions taken and results attained during the establishment of the Injectable Omeprazole Use Qualification Program (IOUQP) at a teaching hospital in Brazil.
Method: This three-stage study was conducted at an Emergency Medical Services belonging to the city of Belo Horizonte, Minas Gerais State. The first stage comprised the identification of all prescriptions recommending the use of Injectable Omeprazole (IO) issued at the hospital. During the second stage, a protocol with directions on IO use was devised and distributed among the clinical staff. Finally, the third stage comprised a new analysis of prescriptions recommending the use of IO, followed by pharmaceutical interventions according to needs.
Results: During the first stage, all prescriptions recommending IO (n = 353) and 129 medical records were analyzed. Among the main reasons for IO prescription, upper digestive hemorrhage (17; 27.9%) was the primary one. The third stage comprised the analysis of 82 prescriptions, the observation of 75 patients, and the performance of 14 pharmaceutical procedures.
Conclusion: One notices the importance of studies promoting a reasonable use of anti-secretory drugs within a hospital environment.
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