Casanova María José, Chaparro María, Gisbert Javier P
Unidad de Gastroenterología, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, Madrid, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, España.
Unidad de Gastroenterología, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, Madrid, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, España.
Gastroenterol Hepatol. 2020 May;43(5):233-239. doi: 10.1016/j.gastrohep.2019.11.001. Epub 2020 Jan 18.
Errors are very common in daily clinical practice; however, they can be prevented. Our aim was to identify the most common errors in the outpatient management of inflammatory bowel disease (IBD) patients.
Patients diagnosed with IBD, being treated at our IBD Unit and who were referred for a second opinion were consecutively enrolled. Data on the strategies implemented by their previous physicians were obtained. These strategies were compared with the currently recommended diagnostic and therapeutic procedures.
Seventy-four IBD patients were enrolled. Prior to care in our Unit, screening for tobacco use had been performed in 50% of Crohn's disease patients, while smoking cessation counselling had been provided in 29%. At the time of IBD diagnosis, the hepatitis B virus immunization status had been investigated in 16% of the patients, the hepatitis C virus status in 15%, and the varicella status in 7%. Seven percent of the patients had been vaccinated against hepatitis B virus, and 3% against influenza, tetanus and pneumococcus. Sixty-seven percent of the patients with an indication for use of 5-aminosalicylic acid and 37% of those with an indication for immunosuppressants had received the indicated drug.
Errors in the outpatient management of IBD patients are very common and relevant.
在日常临床实践中，错误非常常见；然而，这些错误是可以预防的。我们的目的是确定炎症性肠病（IBD）患者门诊管理中最常见的错误。
连续纳入在我们的IBD科室接受治疗且被转诊以获取第二种意见的IBD确诊患者。获取其之前医生实施的策略的数据。将这些策略与当前推荐的诊断和治疗程序进行比较。
纳入了74例IBD患者。在我们科室进行治疗之前，50%的克罗恩病患者接受了烟草使用筛查，而29%的患者接受了戒烟咨询。在IBD诊断时，16%的患者接受了乙肝病毒免疫状态调查，15%的患者接受了丙肝病毒状态调查，7%的患者接受了水痘状态调查。7%的患者接种了乙肝病毒疫苗，3%的患者接种了流感、破伤风和肺炎球菌疫苗。有使用5-氨基水杨酸指征的患者中，67%接受了指定药物治疗；有免疫抑制剂使用指征的患者中，37%接受了指定药物治疗。
IBD患者门诊管理中的错误非常常见且具有相关性。
