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  • Title: A new perspective on stress ulcer prophylaxis.
    Author: Sing RF, Marino PL.
    Journal: J Am Osteopath Assoc; 1992 Aug; 92(8):1026-7. PubMed ID: 1358868.
    Abstract:
    Gastric acid suppression by use of either antacids or histamine H2-receptor antagonist therapy is the mainstay of stress ulcer prophylaxis. Available evidence indicating an antimicrobial role for gastric acid calls for the reevaluation of gastric acid suppression. A pH of greater than 4.0 leads to bacterial overgrowth and colonization of the upper gastrointestinal tract which has been associated with nosocomial pneumonia, bacterial translocation from the gut, systemic sepsis, and multiple-organ failure. The availability of alternative therapy should discourage the routine use of acid-suppression therapy in the critically ill patient.
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