UDK: 615.036.8

PHARMACOEPIDEMIOLOGICAL ANALYSIS OF THE MANAGEMENT TACTICS OF PATIENTS WITH PEPTIC ULCER AND CHRONIC GASTRITIS IN OUTPATIENT SETTINGS

I.V. Ivakhnenko1, A.V. Ponomareva2, O.V. Razvalyaeva3, I.U. Kolesnikova1, S.I. Krayushkin1, O.V. Shatalova2

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, Волгоград, 1 кафедра амбулаторной и скорой медицинской помощи, 2кафедра клинической фармакологии и интенсивной терапии, 3 кафедра внутр

Abstract

A pharmacoepidemiological study of the compliance of the diagnosis and treatment of peptic ulcer disease (PUD) and chronic gastritis (CG) in outpatient conditions in Volgograd with modern clinical recommendations was carried out. The medical records of 283 patients who were treated for gastric/duodenal ulcer and CG on an outpatient basis were analyzed. Primary diagnosis of Helicobacter pylori infection was assigned to 37,4 % of patients with PUD/CG, while non-invasive tests were used more often (65,9 %). As a starting therapy, polyclinic doctors most often prescribed standard triple therapy, enhanced with bismuth preparations. Control of the effectiveness of eradication was recommended for 38,8 % of patients. The main problemsof managing patients with PUD and CG in polyclinics in our region are associated with an insufficient level of primary diagnosis of H. Pylori, monitoring the effectiveness of eradication therapy (ET), as well as using poorly informative testing methods.

Keywords

Helicobacter pylori, diagnostics, eradication therapy, pharmacoepidemiology.

Contacts

Пономарева Анжелика Викторовна – д. м. н., профессор кафедры клинической фармакологии и интенсивной терапии ФГБОУ ВО «ВолгГМУ Минздрава России», e-mail: angelvr@yandex.ru