临床药师干预Ⅰ类切口围手术期预防使用抗菌药物效果分析  

Analysis on Clinical Pharmacist Intervention on Preventive Use of Antibacterial drugs during Perioperative Period in type Ⅰ incision operation

作　　者：佟晓娜 陈伟 李灿霞 陈莉 白丽萍 

机构地区：[1]云南省第三人民医院,云南昆明650011

出　　处：《中国药业》2014年第21期76-78,共3页China Pharmaceuticals

摘　　要：目的为临床药师有效参加并干预Ⅰ类切口围手术期预防性合理使用抗菌药物、促进合理用药提供参考。方法通过整理医院临床药师干预Ⅰ类切口围手术期预防性使用抗菌药物起始于2010年2月至4月(384份)、2012年2月至4月份(487份)、2014年2月至4月份(654份)的病例,进行抗菌药物合理用药分析。结果经过临床药师的术前及术后干预,Ⅰ类切口围手术期预防使用抗菌药物从药物选择、给药剂量、使用时间等方面逐渐趋于合理;缩短术后预防用药时间后,并未增加术后感染例数,住院时间并未延长。结论制订规范的临床药师参与Ⅰ类切口围手术期预防用抗菌药物干预措施,通过临床药师对术前及术后用药的干预促进临床合理用药,是一套行之有效的工作模式。Objective To provide reference for clinical pharmacist effectively participating in and interfering in the preventive and rational use of antibacterial drugs during the perioperative period in typeⅠ incision operation,and to promote rational drug use. Methods The rationality of preventive use of antibacterial drugs during perioperaive period was analyzed and researched by sorting 384 cases of medical records during February- April 2010,487 cases of medical records during February- April 2012 and 654 cases of medical records during February- April 2014. Results Though the clinical pharmacist intervention during the preoperative and postoperative periods in type Ⅰ incision operation, the use of antibacterial drugs gradually trended to be rational from the aspects of drug selection, dosage and use time. In the hospitalization duration, shortening the preventive use time of antibacterial drugs did not increase the postoperative infection cases and did not extend the hospitalization duration. Conclusion Formulating the normalized intervention measures for clinical pharmacists participating in the preventive use of antibacterial drugs in type Ⅰ incision operation and the intervention of clinical pharmacists on preoperative and postoperative medication for promoting rational drugs use are a set of effective work mode.

关 键 词：临床药师 Ⅰ类切口 围手术期 抗菌药物 

分 类 号：R969.3[医药卫生—药理学] R978[医药卫生—药学]