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Bitte verwenden Sie diesen Link, wenn Sie dieses Dokument zitieren oder verlinken wollen: https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-57630

Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany

  • Background: Despite the growing concern over its potentially severe side effects and considerable economic burden, stress ulcer prophylaxis (SUP) is still frequently prescribed to patients in medical non-intensive care units. Recent data indicate that the situation is similar in surgical departments. Currently, data on the concepts within and regulation of routine SUP practice in surgical departments are sparse. The present study was designed to examine the current practice of SUP in Mecklenburg West Pomerania, Germany, and to identify possible reasons for the dissociation of medical literature and clinical practice. Methods: A questionnaire-based survey was conducted to elucidate current SUP practices in surgical departments of acute care hospitals in Mecklenburg Western Pomerania, Germany. Results: In most surgical departments (68%), a standard operating procedure (SOP) for SUP had not been developed. In departments with an existing SOP, 47.6% of responding medical staff members (MSM) with prescribing authority did not know of its existence. Of the MSMs aware of the existence of an SUP-SOP, only 42.9% indicated that they were familiar with its content. Critical re-evaluation of SUP indications upon transfer from the intensive care unit (ICU) to the general hospital ward (GHW) and before hospital discharge was performed frequently or systematically by only about half of the responding MSMs. Discussion: In the face of continued massive over-prescription of SUP in the perioperative routine, the development of easy-to-use local guidelines and their strict implementation in the clinical routine, as well as intensified medial education on this subject, may be effective tools to reduce acid-suppressive medication (ASM) associated side effects and economic burden.

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Metadaten
Author: Julia Rauch, Marco Franze, Maciej Patrzyk, Claus-Dieter Heidecke, Tobias Schulze
URN:urn:nbn:de:gbv:9-opus-57630
DOI:https://doi.org/10.3390/healthcare9111490
ISSN:2227-9032
Parent Title (English):Healthcare
Publisher:MDPI
Place of publication:Basel
Editor: Alessandro Sartorio
Document Type:Article
Language:English
Date of first Publication:2021/11/02
Release Date:2022/06/10
Tag:acid suppressive therapy; perioperative care; stress ulcer; stress ulcer prophylaxis
GND Keyword:-
Volume:9
Issue:11
Article Number:1490
Page Number:13
Faculties:Universitätsmedizin / Klinik und Poliklinik für Chirurgie Abt. für Viszeral-, Thorax- und Gefäßchirurgie
Licence (German):License LogoCreative Commons - Namensnennung