药师对儿科抗生素合理应用干预及价值评估  

Pharmacist's Intervention and Value Evaluation on the Rational Use of Antibiotics in Pediatrics

作　　者：赵书新[1] 李如红 ZHAO Shu-xin;LI Ru-hong(Department of Pharmacy,Huimin County People’s Hospital,Binzhou,Shandong Province,251700 China;Department of Pediatrics,Huimin·County People's Hospital,Binzhou,Shandong Province,251700 China)

机构地区：[1]惠民县人民医院药学部,山东滨州251700 [2]惠民县人民医院儿科,山东滨州251700

出　　处：《世界复合医学》2020年第10期177-179,共3页World Journal of Complex Medicine

摘　　要：目的探讨在进行儿科抗生素合理应用干预期间药师干预方式应用价值。方法将该院2016年7月—2019年5月收治的180例患儿数字奇偶法分组;干预组(90例):采用常规用药指导+药师干预方式完成抗生素合理应用干预;对照组(90例):采用常规用药指导方式完成抗生素合理应用干预;就组间多联用药率、抗生素使用率、药敏试验送检率、抗生素费用、住院费用、总住院天数以及干预满意度评分数据展开对比。结果干预组患儿多联用药率(34.44%)、抗生素使用(61.11%)率均低于对照组61.11%、75.56%明显,药敏试验送检率(50.00%)高于对照组(32.22%)明显(χ2=12.825、4.339、5.875,P<0.05);干预组患儿抗生素费用为(945.82±103.85)元,住院费用为(6737.39±134.96)元,总住院天数为(14.12±3.21)d,对照组患儿抗生素费用为(1457.29±119.42)元,住院费用为(7849.72±167.39)元,总住院天数为(17.32±5.29)d,干预组患儿抗生素费用以及住院费用均少于对照组明显,总住院天数短于对照组明显(t=30.660、49.077、4.906,P<0.05);干预组患儿干预总满意度评分为(90.55±5.25)分,对照组为(80.49±6.31)分,干预组患儿干预总满意度评分数据高于对照组明显(t=11.627,P<0.05)。结论药师干预方式的有效运用,使得儿科抗生素应用合理性获得显著提升,使得多联用药率、抗生素使用率获得有效降低,药敏试验送检率、显著提升,并同时将抗生素费用、住院费用有效减少,使得总住院天数显著缩短,获得显著干预满意度,最终充分实现患儿预后提升。Objective To explore the application value of pharmacist intervention during the rational application of pediatric antibiotics.Methods 180 cases of pediatric patients admitted in our hospital from July 2016 to May 2019 were divided into groups by digital parity;intervention group(90 cases):using conventional medication guidance+pharmacist intervention to complete the rational application of antibiotics intervention;control group(90 cases):use conventional medication guidance to complete the rational use of antibiotics intervention;compare the data of multiple combination use rates,antibiotic use rates,drug sensitivity test submission rates,antibiotic costs,hospitalization costs,total hospitalization days,and intervention satisfaction scores between groups.Results The rates of multi-drug use(34.44%)and antibiotic use(61.11%)in the intervention group were significantly lower than those in the control group(61.11%)and(75.56%).The drug sensitivity test delivery rate(50.00%)was higher than that of the control group(32.22%)was significantly(χ2=12.825,4.339,5.875,P<0.05);the antibiotic cost of children in the intervention group was(945.82±103.85)yuan,the hospitalization cost was(6737.39±134.96)yuan,the total hospital stay was(14.12±3.21)d,the cost of antibiotics for children in the control group was(1457.29±119.42)yuan,the cost of hospitalization was(7849.72±167.39)yuan,the total length of hospital stay was(17.32±5.29)d,the cost of antibiotics and hospitalization for the intervention group were both significantly less than the control group,and the total length of hospital stay was significantly shorter than that of the control group(t=30.660,49.077,4.906,P<0.05);the intervention group children’s total intervention satisfaction score was(90.55±5.25)points,the control group was(80.49±6.31)points, the total intervention satisfaction score data of children in the intervention group was significantly higher than that in the control group (t=11.627,P<0.05). Conclusion The effective use of pharmacist intervention m

关 键 词：药师 儿科抗生素 多练用药 药敏试验送检 抗生素费用 住院费用 总住院天数 干预满意度 

分 类 号：R95[医药卫生—药学]