首页|临床药师对肝硬化腹水自发性腹膜炎抗菌疗程的干预分析

临床药师对肝硬化腹水自发性腹膜炎抗菌疗程的干预分析

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目的 通过临床药师干预,比较2种不同疗程的抗菌治疗对肝硬化腹水自发性腹膜炎(SBP)的疗效.方法 120例肝硬化自发性腹膜炎患者分为干预前后组各60例.2组患者不同疗程抗感染治疗后,以各组血清PCT、腹水常规(白细胞计数、PMN计数)、腹水细菌培养、血常规、肝功能、凝血时间(PT)、C反应蛋白(CRP)等指标评价,分析干预前后组间综合疗效进行对比.结果 干预前后组间综合疗效对比,SBP患者抗感染治疗大于1 w与治疗1 w疗效差别无统计学意义.而干预后SBP的抗菌疗程明显缩短,有效降低了抗菌药物使用比率.结论 SBP患者抗感染治疗大于1 w与治疗1 w效果相仿,意义不是很大.通过临床药师干预可以明显防止抗菌药物滥用,减少肝脏的负担及毒副反应等,最终体现其干预价值为临床合理使用抗菌药物提供参考依据.
Intervention analysis of clinical pharmacists on antibiotic treatment course of spontaneous peritonitis in cirrhotic ascites
Objective To compare the efficacy of two different courses of antibacterial therapy on spontaneous bacterial peritonitis (SBP) in cirrhotic ascites by clinical pharmacist intervention. Methods 120 patients with spontaneous peritonitis in liver cirrhosis were divided tow groups with each 60. Anti infection treatment of two groups of patients after different treatment, the serum PCT, ascites conventional (white blood cell count, PMN count), ascites bacterial culture, blood routine, liver function, blood coagulation time (PT), C reactive protein (CRP) and other indexes, were compared before and after the intervention group comprehensive curative effect. Results There was no significant difference in the efficacy of anti infection therapy between SBP group and the control group in one week and one week after treatment. After the intervention, the antibacterial course of SBP was significantly shortened, and the use ratio of antibacterial drugs was effectively reduced. Conclusion The anti infective treatment of SBP patients is more than one week, and the effect is similar to that of one week treatment, but the meaning is not great. Through the intervention of clinical pharmacists, we can obviously prevent the abuse of antibiotics, reduce the burden and side effects of the liver, and ultimately reflect the value of intervention, and provide reference for the rational use of antibiotics in clinical practice.

cirrhosis ascites spontaneous peritonitisclinical pharmacistantibacterial treatment course

刘群、张东萍、肖招英、茹秋明、楼炯波、赵庆峰、蒋雁飞

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浙江省嵊州市人民医院/浙大一院嵊州分院 临床药学室,浙江 嵊州 312400

浙江省嵊州市人民医院/浙大一院嵊州分院 感染科,浙江 嵊州 312400

肝硬化腹水自发性腹膜炎 临床药师 抗菌疗程

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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