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Related Experiment Videos

Pharmacist-managed Helicobacter pylori clinic.

A P Morreale1

  • 1Pharmacy Services, Veterans Affairs Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161, USA.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|January 15, 1995
PubMed
Summary

Pharmacists can effectively manage a Helicobacter pylori assessment clinic, improving patient outcomes. This model allows for the study of antimicrobial regimens and demonstrates pharmacists assuming a primary care role.

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Area of Science:

  • Pharmacology
  • Gastroenterology
  • Ambulatory Care Pharmacy

Background:

  • Acid-suppressive medications are common for ambulatory patients.
  • Helicobacter pylori (H. pylori) infection is a significant cause of gastrointestinal disease.
  • Effective management of H. pylori is crucial for patient outcomes.

Purpose of the Study:

  • To describe a pharmacist-managed clinic for H. pylori assessment.
  • To evaluate the role of pharmacists in managing H. pylori treatment.
  • To study the clinical effectiveness and pharmacoeconomics of H. pylori treatment regimens.

Main Methods:

  • Establishment of a pharmacist-managed clinic at a Veterans Affairs Medical Center.
  • Screening of patients on long-term acid-suppressive therapy for H. pylori.

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  • Treatment of positive H. pylori cases with combination antimicrobial therapy.
  • Pharmacist oversight of laboratory tests, adverse effects, patient education, and medication regimens.

    • Main Results:

    • Twenty patients were evaluated, with 12 testing positive for H. pylori.
    • All treated patients achieved pain relief without medication post-treatment.
    • The clinic facilitated pharmacist involvement in primary care and outcome documentation.

    Conclusions:

    • Pharmacist-managed H. pylori assessment clinics are effective in improving patient outcomes.
    • These clinics enable pharmacists to take on a primary care role.
    • Opportunities exist for studying antimicrobial regimen effectiveness and pharmacoeconomics.