临床药师干预促进清洁手术抗菌药物的合理应用  

Improvement of Rational Application of Antibiotics in Clean Surgery by Intervention of Clinical Pharmacists

作　　者：方忠宏[1] 吴芬莲 姜玲海[1] 刘玉娟[1] 张军[1] 

机构地区：[1]复旦大学附属金山医院药剂科,上海201508 [2]复旦大学附属金山医院院内感染科,上海201508

出　　处：《中国医院用药评价与分析》2015年第12期1693-1696,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:评价临床药师在干预清洁手术预防用抗菌药物中的作用。方法:按照病历号及随机等间距原则,抽取复旦大学附属金山医院(以下简称"我院")2009年7月—2014年12月每季度清洁手术患者病历100份,并按原卫生部的专业标准进行评价。同时,统计我院非ICU患者的院内感染发生率并进行对比分析。结果:通过采取药师督导、辅以管理等措施,我院清洁手术抗菌药物合理使用率不断提高(由0上升至96.00%);非ICU患者院内感染率随抗菌药物减少使用而逐步降低(从1.05%降至0.18%)。结论:在药师干预下,我院抗菌药物合理使用率不断得到提高,表明该方法对促进抗菌药物合理使用具有借鉴意义。OBJECTIVE： To evaluate the effects of intervention of clinical pharmacists on application of antibiotics in clean surgery. METHODS： 100 medical orders of clean surgery in Jinshan Hospital Affiliated to Fudan University（ hereinafter referred to as ＂our hospital＂） from each quarter of Jul. 2009 to Dec. 2014 were extracted via the medical order number and random equal interval principle,which was evaluated according to the academic standard published by Chinese Ministry of Health. Meanwhile,application rate of antibiotics for nosocomial infection in non-ICU inpatients was statistically analyzed and compared. RESULTS： By the intervention of clinical pharmacists combined with management and regulating measures,the rational application rate of antibiotics increased from 0 to 96. 00%,and the nosocomial infection rate in non-ICU patients decreased from 1. 05% to 0. 18% for the reduce in application of antibiotics. CONCLUSIONS： Under the intervention of clinical pharmacists,the rational use rate of antibiotics in our hospital have been significantly improved,which shows that this method can provide reference for the promotion of rational application of antibiotics.

关 键 词：抗菌药物 预防用药 清洁手术 药师 干预策略 

分 类 号：R969.3[医药卫生—药理学]