临床药师参与新生儿感染性疾病会诊分析157例  

Consultation analysis about clinical pharmacists participation in 157 cases of neonatal infectious diseases

作　　者：阮洁 丁楠 马运芳[1] 闫瑶[1] 郁长治[1] 赵军[1] RUAN Jie;DING Nan;Ma Yunfang;YAN Yao;YU Changzhi;ZHAO Jun(Department of Pharmacy,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,830054,China)

机构地区：[1]新疆医科大学第一附属医院药学部,乌鲁木齐830054

出　　处：《新疆医学》2022年第7期852-854,857,共4页Xinjiang Medical Journal

基　　金：新疆维吾尔自治区药学会科研基金(项目编号:YXH201922)

摘　　要：目的 通过分析临床药师参与新生儿感染性疾病会诊病例的特点,探讨临床药师在相关会诊中的作用和意义,为临床药师在新生儿感染性疾病治疗过程中更好地开展药学服务提供参考。方法 采用回顾性分析方法调取本院2021年临床药师参与新生儿感染性疾病患者会诊的病例,对新生儿感染性疾病特点和临床药师会诊情况等进行统计分析。结果 在此次新生儿会诊患者中,以早产儿会诊为主,占81.5%。感染部位多为多部位混合感染,占64.33%。检出的病原菌以革兰氏阴性菌为主,占55.17%。会诊的主要目的是抗菌药物方案的制定或调整。会诊意见采纳率为91.08%,且与未采纳意见组相比,意见被采纳组患者预后明显改善(P<0.01)。结论 新生儿患者因生理特殊性与药物选择的局限性,抗感染治疗困难,临床药师可根据新生儿的特点和所学知识,提供个体化的用药建议,改善新生儿患者的预后。Objective By analyzing the characteristics of clinical pharmacists participating in the consultation of neonatal infectious diseases,the role and significance of clinical pharmacists in relevant consultation were discussed,so as to provide reference for clinical pharmacists to carry out pharmaceutical care better in the treatment of neonatal infectious diseases.Methods Retrospective analysis was used to collect the consultation cases of neonatal infectious diseases patients attended by clinical pharmacists in a hospital in 2021,and statistical analysis was conducted on the characteristics of neonatal infectious diseases and the consultation situation of clinical pharmacists.Results Among the neonatal consultation patients,preterm infants were the main ones,accounting for 81.5%.Most of the infected sites were multi-site mixed infection,accounting for 64.33%.Gram-negative bacteria were the main pathogens,accounting for 55.17%.The main purpose of the consultation is to develop or adjust the antimicrobial regimen.The consultation opinion adoption rate was 91.08%,and the prognosis of patients in the adopted opinion group was significantly improved compared with those in the non-adopted opinion group(P<0.01).Conclusion Neonatal patients have difficulty on anti-infection treatment due to their physiological particularity and limitations of drug selection.Clinical pharmacists can provide individualized drug suggestions according to their characteristics and knowledge to improve their prognosis.

关 键 词：临床药师 新生儿 感染性疾病 抗菌药物 会诊 

分 类 号：R969.3[医药卫生—药理学]