临床药师对多重耐药细菌及泛耐药细菌感染的脑卒中患者的会诊方案的疗效评价  

Evaluation the efficacy of pharmacist consultation program on the patients of stroke with infected multiple drug-resistant bacteria and the pan-drug-resistant bacteria

作　　者：龚磊[1] 陈灵[1] 周小爽[1] 范瑞明[2] 朱刚[3] 陈泽慧[3] 邱隆敏[4] 王玉和[1] 

机构地区：[1]遵义医学院附属医院药剂科,贵州遵义563003 [2]遵义医学院附属医院神经内科,贵州遵义563003 [3]遵义医学院附属医院医务处质控科,贵州遵义563003 [4]遵义医学院附属医院院感科,贵州遵义563003

出　　处：《中国临床药理学杂志》2014年第11期1036-1038,共3页The Chinese Journal of Clinical Pharmacology

基　　金：教育部长江学者和创新团队发展计划项目基金资助项目(IRT1197)

摘　　要：目的评价临床药师针对脑卒中合并多重耐药及泛耐药细菌感染患者的会诊方案的可行性与有效性。方法回顾性纳入2011-10—2014-06在遵义医学院附属医院接受临床药师会诊的脑卒中合并耐药性细菌感染患者11例,评估会诊治疗方案的接受率、疗效及细菌清除率。结果医师对临床药师会诊治疗方案的接受率为90.91%;完全接受会诊治疗方案的不同耐药性细菌感染患者治疗后的总有效率为100%;细菌清除率为87.50%。结论临床药师会诊治疗方案对多重耐药及泛耐药细菌感染疾病的预防及治疗是可行的。Objective To investigate the effects of drug selection com-ments proposed by the clinical pharmacists during the consultation of stroke patients with multi-drug and pan-drug resistant bacterial infec-tion on the infection control and clinical efficiency.Methods Eleven stroke patients with multi-drug and pan-drug resistant bacterial infec-tion received consultation from October 2011 to June 2014 in our hospital were included in this retrospective analysis.The clinical pharmacists in-volved in the analysis of pathogenic bacteria distribution, drug resist-ance, establishing of treatment strategy, and evaluation of the clinical ef-ficiencies.Results Clinical pharmacists opinions medication acceptance rate was 90.91%.Infection in patients with the total effective rate was 100%.The bacterial eradication rate was 87.50%.Conclusion The drug selection comments proposed by the clinical pharmacists during the consultation were prime importance to the infection control and clinical efficiency of stroke patients with multi -drug and pan -drug resistant bacterial infection.

关 键 词：临床药师 脑卒中 多重耐药细菌 泛耐药细菌 药学会诊 疗效评价 

分 类 号：R978.1[医药卫生—药品] R743.3[医药卫生—药学]