临床药师对甲状腺手术预防使用抗菌药物的干预分析  

Analysis of Prophylactic Use of Antimicrobials in Thyroidectomy Intervened by Clinical Pharmacists

作　　者：王桂凤[1] 李运景[1] 卢荣枝[1] 李雪芹[1] 黎颖然[1] 

机构地区：[1]广东省中山市人民医院,广东中山528403

出　　处：《今日药学》2012年第10期626-628,共3页Pharmacy Today

摘　　要：目的探讨临床药师在甲状腺围术期抗菌药物应用中的干预作用及效果。方法对比分析临床药师对普外科甲状腺手术患者围术期抗菌药物应用实施干预前、后的用药情况。结果抗菌药物使用率从干预前的45.2%下降到干预后的10.1%;品种选择正确率从13.5%升高到100%;干预后给药时机正确率从17.1%上升到25.0%;干预前有4例用药超过24 h,干预后预防用药持续时间均在24 h之内。结论临床药师对甲状腺手术患者围术期抗菌药物的合理应用实施干预,可明显提高抗菌药物的临床合理使用,并可减轻患者经济负担。Objective To investigate the intervention result of the prophylactic use of antibacterials in patients undergoing thyroidectomy. Methods The changes of perioperative application of antimicrobials in thyroidectomy before and after the intervention of clinical pharmacists were analyzed. Results After intervention, antimicrobials application decreased from 45.2% to 10. 1%, accuracy of antimicrobials selection raised from 13.5% to 100%, right timing of preoperative antimicrobials administered raised from 17.1% to 25.0%, duration of postoperative medication all within 24 h after the intervention, while 4 cases exceed 24 h before intervention. Conclusion The pharmacists＇ intervention on prophylactic use of antibacterials in patients undergoing thyroidectomy can improve the rational use of antibacterials and reduce patients＇ financial burden.

关 键 词：甲状腺手术 临床药师 抗菌药物 合理用药 抗菌药物专项整治 

分 类 号：R95[医药卫生—药学]