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Infant Reflux in the Primary Care Setting: A Brief Educational Intervention and Management Changes
Brendan Ryan Harris1, William E Bennett2
11 Washington University in Saint Louis, Saint Louis, MO, USA.
Clinical Pediatrics
|November 15, 2017
Summary
An educational intervention aimed to reduce acid suppression therapy in infants did not significantly change prescribing rates. While proton pump inhibitor (PPI) use remained low, the study did not meet its primary objective.
Area of Science:
- Pediatrics
- Clinical Pharmacy
- Evidence-Based Medicine
Background:
- Acid suppression therapy prescriptions for infants have increased without strong evidence of efficacy or safety.
- Educational interventions show promise in improving clinician prescribing practices.
Purpose of the Study:
- To implement an educational module based on high-yield evidence to decrease acid suppression therapy prescriptions in infants.
- To assess the impact of the educational module on resident prescribing habits.
Main Methods:
- A chart review was conducted on infants seen by residents after they completed an educational module.
- Twelve clinic sessions before and after the intervention were analyzed.
- Data from 28 residents who completed the intervention were examined.
Main Results:
- Before the intervention, 1.8% of infants received acid suppression therapy; none received proton pump inhibitors (PPIs).
- After the intervention, 0.8% of infants were prescribed acid suppression, with one patient receiving a PPI.
- The change in prescribing practices was not statistically significant.
Conclusions:
- The educational module was unsuccessful in significantly altering provider prescribing practices for infant acid suppression therapy.
- The study noted a consistently low initial rate of PPI therapy prescription, which is encouraging.