方舱医院药事管理与药学服务实践  

Practice of pharmacy administration and pharmaceutical care in shelter hosptial

作　　者：高婉婷 李岩 王子民[2] 吴迪 李怡文 GAO Wanting;LI Yan;WANG Zimin;WU Di;LI Yiwen(Department of Pharmacy,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,China)

机构地区：[1]中国医学科学院阜外医院药剂科,北京100037 [2]首都医科大学宣武医院药学部,北京100053 [3]应急总医院心内科,北京100028 [4]应急总医院药学部,北京100028

出　　处：《中国急救复苏与灾害医学杂志》2024年第4期431-435,共5页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：中国应急管理部应急总医院医学科研发展基金(编号:K20-2);国家科技部重点研发项目(编号:2021YFC3002204)。

摘　　要：目的 探讨在新型冠状病毒肺炎(COVID-19)疫情暴发下新国展方舱医院药品遴选和药事管理模式,为应对突发公共卫生事件时的药品保障工作提供参考。方法 以新国展方舱医院E2方舱为样本,收集2022年11月20日—12月12日收治的2 679例新冠肺炎无症状及轻症感染者用药信息,从药学管理模式入手,探讨符合方舱医院的药品供应目录、药品使用情况、药师岗位指责及院感防控等多方面的问题。结果 方舱药品供应目录以口服药物为主,使用频次最高的3类药物为镇咳祛痰药、解热镇痛药、抗菌药,均为可改善COVID-19感染后呼吸道及消化道症状的药物;部分患者患基础病,少数患者因环境改变或精神紧张出现精神改变,故精神药品应在药品目录中体现。结论 方舱医院药品目录的制定和药事管理模式应符合本方舱特色,根据患者的实际临床症状调整方舱药品储备,随时优化药品供应和药事管理模式。Objective To explore the drug selection and pharmaceutical management mode of Xinguozhan Fangcang shelter hospitals under Corona Virus Disease 2019(COVID-19)epidemic and provide reference for durg supply to deal with public health emergencies.Methods Taking E2 shelter as the simple hospital,a total of 2679 patients medication with COVID-19 asymptomatic and mild symptoms in E2 were collected from November 20,2022 to December 12,2022 from the pharmaceutical management mode,to explore the suitable catalogue of drug supply,drug usage,pharmacists responsibilities and hospital infection prevention and control.Results Oral administration were the main dosage forms in E2,the most frequently used were drugs for improving the respiratory and digestive symptoms of COVID-19 such as drugs for eliminating phlegm and stopping cough,antipyretics and analgesics,antibiotic.Some patients have underlying disease,a small percentage of patients develop alter mental status because of the changes of environment or mental strain,so psychoactive drugs should be reflected in the drug supply catalogue.Conclusion The formulation of catalogue of drugs and pharmaceutical management mode,according to the patient's clinical symptoms adjust the varieties,optinmize the drugs supplies and pharmaceutical management mode.

关 键 词：方舱医院 COVID-19 药品管理 药品目录 

分 类 号：R965[医药卫生—药理学]