PHÂN TÍCH TÌNH HÌNH SỬ DỤNG THUỐC ỨC CHẾ BƠM PROTON TRONG DỰ PHÒNG LOÉT ĐƯỜNG TIÊU HÓA Ở BỆNH NHÂN HỒI SỨC TẠI KHOA HỒI SỨC TÍCH CỰC BỆNH VIỆN HỮU NGHỊ

Abstract

Objectives: to describe patient characteristics and suitability in using PPIs to prevent peptic ulcers in patients treated in the ICU. Subjects: medical records of patients treated at the ICU from September 2021 to December 2021. Methods: Retrospective, descriptive. Results: patients in the study group had a much high average age, mostly male, with many comorbidities. Risk factors focused on: mechanical ventilation for more than 48 hours (94.8%), infection status 89.6%; 75.7% of patients were treated in ICU for more than a week. The reasonable rate of PPIs at baseline was 57.1% and increased to 85.2% when considering the entire course of treatment. In addition, some irrationalities in the use of PPIs include: overdose (11.4%); route of administration, suitable preparations (41.7%), in which especially suitable preparations for patients taking through a nasogastric tube. Conclusion: It is necessary to improve the assessment and rational use of PPIs in the prevention of peptic ulcers in resuscitated patients.