“围手术期抗菌药物监控系统”的临床应用  

Creation and Clinical Appliance of “Interactive Alerting System for Perioperative Antibiotics”

作　　者：翟晓波[1] 何志高[1] 方芳[1] 鲍思蔚[1] 徐婷[2] 文传民 

机构地区：[1]同济大学附属东方医院药剂科,上海200030 [2]复旦大学药学院 [3]上海大通医药信息技术有限公司

出　　处：《中国药师》2012年第10期1458-1460,共3页China Pharmacist

基　　金：上海市卫生局科研课题(编号:2009163)

摘　　要：目的:以创建成功的"围手术期抗菌药物监控系统"("监控系统")为平台,充分发挥临床药师的主观能动性,提高围手术期合理使用抗菌药物水平。方法:监控系统在消化外科病区运行,临床药师将此系统中出现的警示信息与患者临床实际结合起来,与医师进行交流互动,促其改正。结果:在半年时间段内,"监控系统"审查出围手术期抗菌药物选择问题31例,用法用量问题28例,共59例警示,占手术总量的3.0%。临床药师从中选出有价值警示40例与医师交流互动,医师修改率达100%。结论:监控系统能有效审查出围手术期抗菌药物不合理使用问题,但还需临床药师掌握相关患者病情,将不合理用药的判断建立在每个患者的临床实际的基础上。Objective： To improve the rational use of perioperative antibiotics using the successfully created ＂Interactive motoring alarm system for perioperative antibiotics＂（IS-PA） as the platform and bring the subjective initiative of clinical pharmacists into full play.Method： The IS-PA was operated in the digestive surgery ward in our hospital.The suggestions based on the alarm information in the IS-PA and the disease conditions of the patients were then sent to the doctors by the clinical pharmacists,the doctors could modify the improper prescriptions accordingly.Result： During the past six months,59 alerts,accounting for 3.0% of total surgeries,were detected.Among them,31 concerned the kind selection and 28 were related to the dosage and frequency of perioperative antibiotics.From the above alerts,40 were selected and sent to the surgeons by the clinical pharmacists,and the doctors modified the prescriptions accordingly with the rate of 100%.Conclusion： The irrational use of perioperative antibiotics can be successfully monitored by the IS-PA,and the further judgment of the irrational drug use should be based on the clinical disease conditions mastered by the clinical pharmacists.

关 键 词：围手术期 抗菌药物 监控系统 临床药师 合理用药 

分 类 号：R97[医药卫生—药品]