首页|临床药师参与的抗菌药管理模式对骨科围手术期抗菌药物使用合理性及管理质量的影响

临床药师参与的抗菌药管理模式对骨科围手术期抗菌药物使用合理性及管理质量的影响

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目的 探讨临床药师参与的抗菌药管理模式对骨科围手术期抗菌药物使用合理性及管理质量的影响。方法 选取 2021年6月至12月我院接收的400例骨科手术患者作为研究对象,按照抗菌药管理模式不同将其分为对照组和观察组,每组 200 例。对照组采用常规抗菌药物管理模式,观察组采用临床药师参与的抗菌药管理模式。比较两组的管理情况。结果 观察组的依替米星、头孢曲松、阿奇霉素、头孢西丁、头孢地嗪、氨曲南使用率及抗菌药物总使用率显著低于对照组(P<0。05)。观察组的用药种类、用药途径、用药疗程、用药剂量、用药时机、用药间隔时间、联合用药不合理率均显著低于对照组(P<0。05)。观察组的工作态度、管理技巧、抗菌药使用流程执行、抗菌药管理规范评分均高于对照组(P<0。05)。观察组的用药不良事件总发生率低于对照组(P<0。05)。结论 临床药师参与的抗菌药管理模式可提高骨科围手术期抗菌药物使用合理性及管理质量,优化抗菌药物使用种类与频率,降低抗菌药物使用率,减少用药不良事件。
Influences of antibacterial drugs management mode participated by clinical pharmacists on the rationality of the use of antibacterial drugs and the quality of management in orthopedic perioperative period
Objective To explore the influences of antibacterial drugs management mode participated by clinical pharmacists on the rationality of the use of antibacterial drugs and the quality of management in orthopedic perioperative period.Methods A total of 400 patients with orthopedic surgery received in our hospital from June to December 2021 were selected as the research objects,and the patients were divided into control group and observation group according to the different management modes of antibacterial drugs,with 200 cases in each group.The control group adopted the conventional antibacterial drugs management mode,and the observation group adopted the antibacterial drugs management mode participated by clinical pharmacists.The management of the two groups was compared.Results The utilization rates of etimicin,ceftriaxone,azithromycin,cefoxitin,cefodizime,aztreonam and the total utilization rate of antibacterial drugs in the observation group were significantly lower than those in the control group(P<0.05).The unreasonable rates of types of medication,route of medication,course of medication,dosage,timing of medication,interval of medication and combined medication in the observation group were significantly lower than those in the control group(P<0.05).The scores of work attitude,management skills,use process execution of antibacterial drugs and management norms of antibacterial drugs in the observation group were higher than those in the control group(P<0.05).The total incidence of adverse drug events in the observation group was lower than that in the control group(P<0.05).Conclusion The antibacterial drugs management mode participated by clinical pharmacists can improve the rationality of the use of antibacterial drugs and management quality in orthopedic perioperative period,optimize the types and frequency of antibacterial drugs use,reduce the use rate of antibacterial drugs,and reduce adverse drug events.

clinical pharmacistantibacterial drugs managementorthopaedicsperioperative periodrationalitymanagement quality

朱永飞

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榆林市星元医院,陕西 榆林,719000

临床药师 抗菌药管理 骨科 围术期 合理性 管理质量

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
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