贵州医科大学学报

2015, v.40;No.173(02) 205-207

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临床药师参与病房抗感染治疗会诊分析
Analysis on with Clinical Pharmacists Participating in Anti-infection Treatment Consultation in Wards

李明;耿维凤;尹航;
LI Ming;GENG Weifeng;YIN Hang;Pharmacy Department,the Affiliated Hospital of Guiyang Medical College;

摘要(Abstract):

目的:总结并分析抗感染药物专业临床药师参与临床科室会诊的具体情况,以便为临床药师更好地参与临床实践提供参考。方法:对抗感染药物专业临床药师参与会诊的100例病例按感染部位、病原菌检出情况、会诊原因、会诊意见及采纳情况、患者预后等情况进行分析。结果:100例会诊病历中,感染部位依次为肺部(47%),颅内(14%);46例接受病原学检查的患者,检出53株病原菌,鲍曼不动杆菌检出率最高占21%;临床药师给出的会诊建议中44%为更换抗菌药物,15%为特殊抗菌药物应用会诊,13%为患者制定初始抗感染治疗方案;会诊意见被采纳率为98%,有2例未被采纳;100例会诊病例中治愈占31%,好转占50%,其余为患者死亡、无效及自请出院。结论:抗感染药物专业临床药师已经被越来越多的临床科室所接纳,并在参与感染性疾病的治疗中发挥着重要作用。
Objective: To summarize and analyze specific condition of clinical consultation with Antiinfection clinical pharmacist participating,so as to provide reference for clinical pharmacists to better participate in clinical practice. Methods: A total of 100 cases of Anti-infection clinical pharmacists participating in consultation were summarized and analyzed statistically according to infection area,reason for consultation,consultati onopinions and adoption,the prognosis of the patients. Results: In the 100 cases,lung infection was up to 47%,followed by intracranial infection,accounted for 14%;46 patients accepted etiological examination and then found 53 pathogenic bacteria,detection rate of Acinetobacter baumannii was up to 21%; in the given suggestions for the consultation,44% was proposed to replace antimicrobial drugs,15% was the special use of antimicrobial drugs application consultation,13% was participating in making initial anti-infection treatment for patients. 98% of consultation opinions were accepted by clinical doctors with 2 case denied. The results of 100 cases consultation showed that the cure rate was 31%,the improvement rate was 50%,the others were death,ineffective and discharged from hospital. Conclusions: The anti-infection clinical pharmacists are increasingly important in the infection treatment,and are accepted by more and more anti-infection clinical departments.

关键词(KeyWords): 临床药师;感染;会诊;预后
clinical pharmacist;infection;consultation;analysis

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作者(Author): 李明;耿维凤;尹航;
LI Ming;GENG Weifeng;YIN Hang;Pharmacy Department,the Affiliated Hospital of Guiyang Medical College;

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