临床药师参与240例抗感染会诊病例回顾性分析  

Retrospective analysis of240cases of anti-infection consultation with the participation of clinical pharmacists

作　　者：朱冬梅 陈芳辉[2] ZHU Dong-mei;CHEN Fang-hui(Chongyi People's Hospital;The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]崇义县人民医院 [2]赣南医学院第一附属医院,江西赣州341000

出　　处：《赣南医学院学报》2022年第9期948-951,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:评估临床药师参与会诊的干预效果,为临床药师会诊总结经验,并促进抗菌药物的合理使用与管理。方法:回顾性分析赣南医学院第一附属医院2021年1月至12月临床药师参与会诊的248例患者的临床会诊资料,其中抗感染病例240例,统计归纳这些病例的基本资料、会诊科室、常见病原学、感染部位、采纳率及病情转归。结果:会诊科室涉及20个临床科室(55个病区),覆盖率达80.0%,其中会诊频次较高的科室有康复科病区(29.58%)、高依赖康复科病区(12.5%)、肿瘤科(7.50%)、心血管内科(6.67%)、泌尿外科(5.83%)、呼吸内科(5.42%),会诊的常见感染部位包括:肺部感染、泌尿系统感染、术后及外伤感染、颅内感染;会诊的主要目的是抗感染方案的调整及个体化给药;会诊完全采纳率达86.25%,病情好转率达70.42%。结论:临床药师能以药学专业知识为基础,结合患者的症状、体征、药物相互作用及实验室结果和影像学等,制定合理的治疗方案,促进抗菌药物的合理使用。Objective:To evaluate the intervention effect of clinical pharmacists′participation in consultation,to sum up experience for clinical pharmacists′consultation,and to promote the rational use and management of antibiotics.Methods:The clinical consultation data of 248 cases participated by clinical pharmacists(from January to December 2021 in The First Affiliated Hospital of Gannan Medical University)were analyzed retrospectively.Among them,the purpose of consultation was 240 cases of anti-infection.The basic information of these cases,consultation departments,common etiology,infection site,adoption rate and prognosis were summarized.Results:The consultation involved 20 clinical departments(55 ward areas),with the coverage of 80.0%.Among them,the departments with higher consultation frequency were rehabilitation wards(29.58%),highly dependent rehabilitation department(12.5%),oncology department(7.50%),cardiovascular department(6.67%),urology department(5.83%),respiratory department(5.42%).Common infection sites of consultation included:lung infection,urinary system infection,postoperative and traumatic infection,intracranial infection.The main purpose of consultation was to adjust the anti-infection program and individualized administration of drugs.The full adoption rate of consultation reached 86.25%;the improvement rate of the patients was 70.42%.Conclusion:On the basis of pharmaceutical professional knowledge,clinical pharmacists can combine with the symptoms and signs of patients,drug interactions,laboratory results and imaging in making proposals,which will help formulate a reasonable treatment plan,promote the rational use of antibiotics.

关 键 词：临床药师 抗感染 会诊 

分 类 号：R192.8[医药卫生—卫生事业管理]