临床药师对甲状腺手术围术期预防用抗菌药的干预作用  

Intervention of Clinical Pharmacists on Antibiotics Prophylaxis in Perioperative Period of Thyroidectomy

作　　者：胡耀梅[1] 廖秋霞[1] 张丹丹[1] 李杨华[1] 严丽华[1] 

机构地区：[1]荆门市第一人民医院药学部,湖北荆门448000

出　　处：《中国药师》2013年第7期1058-1060,共3页China Pharmacist

摘　　要：目的:评价专项整治中临床药师干预甲状腺手术围术期抗菌药使用的效果。方法:随机选取我院2011年3～5月甲状腺手术出院患者150例(对照组),2012年3～5月同类手术患者150例(干预组),对两组预防用抗菌药合理性进行比较。结果:干预后,抗菌药使用率由98.7%下降至56.7%,抗菌药品种选择、给药时机、用药时间、联合用药等方面合理性均有明显提高(P<0.01),干预前后切口感染率的差异无统计学意义(P>0.05)。结论:临床药师有效地促进了甲状腺手术围术期抗菌药的合理应用,需继续加强临床药师对抗菌药合理使用的管理。To evaluate the effects of clinical pharmacist intervention on antibiotics prophylaxis in the perioperative period of thyroidectomy.Method：Totally 150 cases of thyroidectomy during March to May in 2011 were selected randomly as the control group,and 150 cases during March to May in 2012 were selected as the intervention group.The rationality of antibiotics prophylaxis was analyzed and compared between the two groups.Result：After the intervention,the usage rate of antibiotics was decreased from 98.7%to 56.7%,and the rationality of antibiotics prophylaxis was improved significantly in respects of the medication selection,administration time,medication duration and drug combination（P0.01）.There was no statistical significance in post-opertative infection rate between the two groups（P0.05）.Conclusion：The intervention of clinical pharmacists can promote rational use of antibiotics in perioperative period of thyroidectomy.It is necessary to further strengthen the intervention management of antibiotics rational use by clinical pharmacists.

关 键 词：临床药师 抗菌药 甲状腺手术 干预 专项整治 

分 类 号：R978.1[医药卫生—药品]