Title

The use of acid suppressive therapy on ICU and general medicine services at a Veterans Affairs Medical Center

Date of Award

Spring 5-10-2008

Degree Type

Thesis

Degree Name

Honors Thesis

Department

Pharmacy

First Advisor

Christopher Demonkold

Second Advisor

Bruce Hancock

Abstract

The overuse of acid suppressive therapy has been documented in several different s studies2-. However, these studies were mostly completed in Europe or Australia where the incidence of disease states that require AST and the patient populations receiving AST may differ compared to the population in the United States. Overuse of AST may also differ between countries where the knowledge and perceptions surrounding U1U1ecessary acid suppression can vary. These studies also did not provide statistics or commentary regarding the absence of acid suppressive therapy for patients meeting guidelines supporting such treatment. This descriptive study provided an evaluation on adherence to guidelines and medical literature which may then be applied directly to the veteran population. The study may also provide insight into the number of patients being discharged with unnecessary medication which increases costs and complicates drug regimens in the outpatient setting.

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