摘要
目的:了解临床药师参与会诊的落实情况和结果,为临床药师更好地参与临床工作提供依据。方法:对2011-2013年我院临床药师参与300例16岁以下患儿临床感染疾病的会诊情况,包括申请会诊目的及内容、会诊模式、肝肾功能、会诊科室、菌群分布、会诊建议是否采纳、治疗转归、使用前5位的抗菌药物、非肝肾受损不良反应等进行统计分析。结果:申请会诊科室中以儿科普通病区最多(45.33%,136/300),其次为儿科重症病区(PICU);申请会诊目的以指导选择、调整抗菌药物为主(87.67%,263/300);会诊建议被全部采纳的有253例(占84.30%),部分采纳的有28例(占9.33%),未采纳的有19例(占6.33%)。意见采纳后再行治疗,痊愈50例(占16.66%),好转127例(占42.33%),效果不明显71例(占23.66%),其他33例(占11.00%)。结论:临床药师会诊已经成为临床治疗工作的一部分,在感染疾病治疗中起到了积极作用。
OBJECTIVE: To probe into the practice and results of clinical pharmacists participating in consultations so as to provide reference for clinical pharmacists participating in clinical practice in the future. METHODS : The pratice of clinical pharma- cists participating in 300 cases of clinical consultation for the children under 16 years-old with infection disease during 2011- 2013 were analyzed statistically in following aspects: purpose and contents for consultation, consultation mode, hepatorenal function, the departments of consultation, pathogens distribution, the acceptance of consultative suggestions, treatment outcome, top 5 antbi- bacterial drugs, non-hepatorenal ADR, etc. RESULTS: Most consultation occurred in wards of general pediatrics (45.33 %, 136/ 300), followed by pediatric intensive care unit (PICU). The main purpose was to adjust or guide the use of antibacterial drugs (87.67%, 263/300). A total of 253 cases of consultation comments (84.30%) were adopted completely, 28 cases (9.33%) were adopted partly, and 19 cases (6.33 % ) were refused. After the acceptation of consultations, 50 patients were cured ( 16.66 % ), 127 were improved (42.33%), 71 were invalid (23.66%), and the others were 33 cases (11.00%). CONCLUSIONS: The participa- tion of clinical pharmacists in consultation has became a part of medical treatment, and plays an important active role in the treat- ment of infection disease.
出处
《中国药房》
CAS
CSCD
2014年第46期4404-4408,共5页
China Pharmacy
关键词
儿童
感染疾病
抗菌药物
会诊
病例分析
Children
Infection disease
Antibacterial drugs
Consultation
Case analysis