竭诚为抗生素合理应用服务是药学工作的重要组成部分  

Rational use of antibiotics as an important component of pharmaceutical service

作　　者：沈德莉[1] 赵明华[1] 

机构地区：[1]上海市静安区中心医院药剂科,上海200040

出　　处：《药学服务与研究》2003年第1期7-9,共3页Pharmaceutical Care and Research

摘　　要：目的 :探索把临床药学和药学监护的理念应用在为抗生素合理使用服务上 ,赋予药学工作新内涵。 方法 :建立抗菌药物合理应用保障体系 ,定时进行细菌耐药性监测 ,建立病区卫星药房 ,对治疗指数低、安全范围窄的药物进行药物血药浓度监测 ,结合临床需要与医护人员交流药学的新进展 ,结合病人的情况对病人进行有关抗生素用药教育 ,做好抗生素不良反应的监测工作 ,参与新药研究与上市药物再评价 ,新建静脉输液再配制中心等几个方面进行探索。结果 :受到临床医护人员和病人的欢迎。 结论 :打破传统的药学工作以保障药品供给为主的模式 ,把临床药学和药学监护的理念应用在为抗生素合理使用服务上是药学工作的重要组成部分。Objective:To explore how to apply clinical pharmacy and pharmaceutical care conception to the rational use of antibiotics and thus to give a new meaning to pharmacy. Methods: A guarantee system for rational use of antibiotics was established, and studies were conducted on regular monitoring of bacterial resistance, deployment of satellite ward dispensaries, monitoring of blood concentration of drugs with low therapeutic index and narrow spectra of safety, exchange of ideas with medical workers on the new development of pharmacy according to clinical requirements, educating patient how to use antibiotics properly according to patients' conditions, monitoring of adverse reactions of antibiotics, participation in new drug research, and establishment of a reconstitution center of intravenous infusion solutions. Results: These measures were warmly welcomed by clinical doctors, nurses and patients. Conclusion: The traditional mode of ensuring drug supply as the main task of pharmacy should be broken through, and applying clinical pharmacy and pharmaceutical care conceptions to the rational use of antibiotics should be considered to be an important component of pharmaceutical service.

关 键 词：抗生素 合理应用 服务 药学工作 药学监护 抗药性 

分 类 号：R978.1[医药卫生—药品] R969.3[医药卫生—药学]