肿瘤专科医院66例患者万古霉素使用的专项点评  

Special Review of 66 Patients Treated with Vancomycin in a Cancer Hospital

作　　者：张小丹[1] 邵菁菁[1] 潘春晓[1] 商玉萍[1] 

机构地区：[1]安徽省肿瘤医院(安徽省立医院西区)药剂科,合肥230031

出　　处：《中国药师》2017年第1期109-112,共4页China Pharmacist

摘　　要：目的:评价肿瘤专科医院万古霉素临床应用情况,促进万古霉素的合理使用。方法:收集我院2015年66例使用万古霉素患者病历,对其用药指征、病原学检查、用法用量、用药疗程、联合用药、用药监测、药物利用指数(DUI)等方面进行点评分析。结果:66例患者中,69.70%的患者万古霉素使用合理,DUI为0.82。不合理用药主要表现为无适应证用药、用法用量不合理、疗程过长或不足、联合用药不合理、预防给药时机不合理。结论:我院万古霉素临床使用基本合理,但仍存在不合理现象,需进一步加强对该药的使用管理及用药监护,促进临床合理用药,保障患者用药安全。Objective： To evaluate the clinical application of vancomycin in a cancer hospital in order to promote the rational use of vancomyein. Methods： The records of 66 patients treated with vancomyein in 2015 were reviewed and analyzed in the respects of in- dications of medication, pathogenic examination, usage and dosage, course of treatment, drug combination, drug monitoring and drug utilization index（DUI）. Results： Among the 66 cases, most drug use was rational, which accounted for 69.70% with DUI of 0.82. There were still several types of irrational drug use including no medication indications, irrational usage and dosage, too long or too short course of treatment, irrational combination and prophylactic use time. Conclusion： The application of vaneomyein is basically ra- tional, while irrational phenomenon still exists. The management and supervision should be further strengthened in order to promote clinical rational drug use and ensure medication safety of patients.

关 键 词：万古霉素 肿瘤专科医院 专项点评 合理用药 

分 类 号：R197.5[医药卫生—卫生事业管理]