药师参与会诊指导感染性疾病合理用药及其病例汇总分析  

Pharmics participating consultation and quiding rational medication on infectious diseases,and meta-analysis on relevant cases

作　　者：唐毅敏[1] 赵敏[1] TANG Yi-min ZHAO Min(Wuxi People＇s Hospital Affiliated to Nanjing Med. University, Wuxi, Jiangsu 214023, China)

机构地区：[1]南京医科大学附属无锡市人民医院,江苏无锡214023

出　　处：《实用医药杂志》2017年第3期240-243,共4页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨临床药师参与临床抗感染治疗实践中发挥的具体作用。方法收集2011年1月—2013年4月临床药师参与临床感染性疾病会诊病例表242份,结合其临床病历进行回顾性调查分析。结果 242份临床病例会诊记录中,会诊科室以外科最多,会诊165人次,占比68.18%;感染部位以肺部感染、血流感染、颅内感染居多,分别占比30.99%、25.62%、15.70%;检出病原菌种类以鲍曼不动杆菌、铜绿假单胞菌、肺炎克雷伯菌和金黄色葡萄球菌居多,分别占比16.00%、12.61%、10.92%、10.92%;211例会诊意见被临床医师采纳或部分采纳,占比87.19%;一般病例会诊78例,占比32.2%、院内疑难重症病例会诊164例,占比67.76%、死亡病例讨论3例,占比1.24%。结论临床药师参与感染性疾病会诊,协助临床医师制定抗感染治疗方案,提高感染性疾病治疗的有效率。临床药师对抗菌药物及相关病原学知识的掌握非常重要,可以帮助临床医师合理使用抗菌药物,科学有效地控制感染。Objective To discuss the specific roles of clinical pharmacists in clinical anti-infection practice. Methods Authors collected 242 consultation records of clinical infectious disease cases undergoing consultations with clinical pharmacists participating in from January 2011 to April 2013,and for which,and conducted retrospective investigation and analysis in combination with the corresponding medical histories. Results Among the 242 consultation eases,165 （68.18%） cases came from the surgery department,which topped the list of different departments, the most common infections were pulmonary infection, bloodstream infection and intracranial infection,accounting for 30.99%,25.62% and 15.70% respectively,and the major kinds of pathogenic bacteria detected were acinetobacter baumannii,pseudomonas aeruginosa,Klebsiella pneumonia and staphylococcus aureus,accounting for 16.00%,12.61%,10.92% and 10.92% respectively;suggestions for 211 （87.19%） consultation cases were accepted by clinicians in whole or in part;and 78 （32.2%） cases were common cases,164 （67.76%） cases were difficult and severe cases,and the rest 3 （1.24%） cases were death cases. Conclusion Clinical pharmacists＇ participation in clinical infectious disease consultations and providing of assistance for clinicians in determination of anti-infection therapies can play a positive role in control and cure of infectious diseases. The knowledge of clinical pharmacists related to antibacterial agents and etiology is of great importance in terms of providing of assistance for clinicians in reasonably use of anti-bacterial agents and scientific and effective control of infection.

关 键 词：药师 感染性疾病 会诊 用药指导 

分 类 号：R969.3[医药卫生—药理学]