Assessment of the management of dyspepsia in health centers of Addis Ababa city administration, Ethiopia
No Thumbnail Available
Date
2019-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Despite the progress made in reducing morbidity, dyspepsia is one of the most common GI diseases, resulting in impaired quality of life and work loss. The purpose of this study was to assess the management of dyspepsia in health centers of Addis Ababa city administration. A cross sectional study was conducted from September 1, 2016 to January 30, 2017 by using previously tested data extraction tool for extract relevant information, which then entered to Epi data and SPSS 20 was used for data analysis. A logistic regression was employed to examine the association between variables. A total of 850 patient with dyspepsia were enrolled, from those study participant 29% had got inappropriate managements. Of all dyspepsia patient who attend health centers 34.2% and 65.8 % were received one drug prescription and triple drug prescription respectively. Regarding appropriate management based on the cause of dyspepsia, patients with NSAIDS are less likely to have appropriate dyspepsia management (AOR= .718(.441, 1.168); P=0.001) than H. Pylori (AOR= 1; P= 0.001) and Stress cause dyspepsia (AOR= 1.642(.893, 3.021). Patients’ age group from 16 to 30 account 46.4%, which is a higher prevalence of dyspepsia compare to other age group in the study, also women 58.1% have a higher prevalence of dyspepsia. Based on the finding of this study, it can be concluded that health professionals are mostly follow the guidelines but not always with respect to the use of single and triple treatment in management of dyspepsia which depend on the cause. Proton pump inhibitors drugs have high prescription rate than histamine 2 antagonist and antacid regardless to the cause. Almost half of patients with dyspepsia use NSAIDS. Patient who need additional antibiotic that was not received were higher than patient who received antibiotic that was not needed so it is important that intervention is needed to educate clinicians about the danger of irrational drugs use and to promote the recommended guide lines in the management of dyspepsia.
Description
Keywords
Dyspepsia; single therapy; triple therapy; NSAIDS use