抗感染药学2024，Vol.21Issue(8) ：815-821.DOI:10.13493/j.issn.1672-7878.2024.08-009

某院住院患者抗感染药学会诊的实践情况分析

Analysis of Practice of Anti-infective Pharmacy Consultation for Inpatients in a Hospital

蔡彩敏 谢根英 曾国富 谢素治 黎碧云
抗感染药学2024，Vol.21Issue(8) ：815-821.DOI:10.13493/j.issn.1672-7878.2024.08-009
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  • 维普
  • 万方数据

某院住院患者抗感染药学会诊的实践情况分析

Analysis of Practice of Anti-infective Pharmacy Consultation for Inpatients in a Hospital

蔡彩敏 1谢根英 1曾国富 1谢素治 1黎碧云1
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作者信息

  • 1. 厦门市海沧医院药学部,福建 厦门 361026
  • 折叠

摘要

目的:分析医院住院患者抗感染药学会诊的实践情况,为临床药师药学会诊的开展提供参考.方法:选取 2022 年 1 月—2023 年 2 月厦门市海沧医院收治的 77 例开展抗感染药学会诊的住院患者作为研究对象,采集患者的年龄、性别、所在科室、微生物检查结果、会诊意见及其被采纳情况、治疗结局等资料,分析接受抗感染药学会诊患者的临床特点.结果:77 例接受抗感染药学会诊的患者中,男性明显多于女性(50 例vs 27 例),年龄上以＞60 岁的老年患者居多(43 例,占 55.84%);患者主要来自普外二科(26 例,占 33.77%)和泌尿疼痛科(20 例,占25.97%),其次为心血管科(11 例,占14.29%)和肿瘤血液科(10 例,占 12.99%);77 例患者中微生物检查结果呈阳性的有 46 例,共检出病原菌 46 株,其中革兰阳性菌 22 株、革兰阴性菌 22 株和真菌 2 株;临床药师提出的会诊意见主要集中于"调整抗菌药物品种"(46 例,占 59.74%)和"保持当前抗感染治疗方案"(21 例,占 27.27%);77 例患者中,有 73 例的药学会诊意见被医生采纳,其中患者治疗结局为康复或好转的有 57 例,而结局为病情加重或治疗无效的有 16 例.结论:医院临床药师开展药学会诊,提出个性化的药物治疗建议,受到了临床的欢迎和接受,并且很大程度上促进了患者的康复.

Abstract

Objective:To analyze the practice of anti-infective pharmacy consultation for inpatients in the hospital and provide a reference for the implementation of pharmacy consultation by clinical pharmacists.Methods:A total of 77 inpatients who were admitted to Xiamen Haicang Hospital from January 2022 to February 2023 and received anti-infective pharmacy consultation were selected as the research subjects.The data of the patients,such as age,sex,department,microbiological examination results,consultation opinions and their adoption,treatment outcomes,etc.were collected to analyze the clinical characteristics of patients who received anti-infective pharmacy consultation.Results:Among the 77 patients who received anti-infective pharmacy consultation,the number of males was significantly more than that of females(50 cases vs 27 cases),and the majority of patients were the elderly over 60 years old(43 cases,55.84%).The patients were mainly from general surgery II(26 cases,33.77%)and department of urology and pain(20 cases,25.97%),followed by the department of cardiovascular medicine(11 cases,14.29%)and the department of oncology and hematology(10 cases,12.99%).Among the 77 patients,46 cases had positive microbiological examination results,and a total of 46 strains of pathogenic bacteria were detected,including 22 strains of Gram-positive bacteria,22 strains of Gram-negative bacteria and 2 strains of fungi.The consultation opinions proposed by clinical pharmacists mainly included"adjusting the types of antibacterial drugs"(46 cases,59.74%)and"maintaining the current anti-infective treatment regimen"(21 cases,27.27%).Among the 77 patients,pharmacy consultation opinions for 73 cases were adopted by doctors,of which 57 cases had the outcomes of recovery or improvement,and 16 cases had the outcomes of worsening of the condition or ineffective treatment.Conclusion:In the hospitals,clinical pharmacists carry out the pharmacy consultations and put forward personalized drug treatment suggestions,which are welcomed and accepted by clinicians and greatly promote the recovery of patients.

关键词

药学会诊/抗感染治疗/临床药师/合理用药

Key words

pharmacy consultation/anti-infective treatment/clinical pharmacist/rational use of drugs

引用本文复制引用

出版年

2024
抗感染药学
江苏省苏州市第五人民医院

抗感染药学

影响因子：0.505
ISSN：1672-7878
参考文献量9
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