临床药师参与会诊385例感染病例的分析

Clinical pharmacists involved in consultation: an analysis of 385 infective cases

目的：了解我院临床药学室参与会诊感染病例的实际情况,为临床药师更好的参与临床会诊提供参考依据。方法：采用回顾性的方法,对我院临床药学室2012~2014年会诊登记本中记录的385例感染病例进行分析总之。结果：385例病例中,申请科室最多的是ICU,其次是呼吸内科;感染部位以肺部感染多见;其症状主要以高热、咳嗽、咳痰、气紧多见;共检出病原菌346例次,检出率为89.87%;会诊意见以调整治疗方案最多;会诊结果为痊愈109例,好转143例,家属放弃治疗36例,效果不明显74例,转上级医院2例,死亡2例。结论：临床药师作为临床治疗中的重要组成部分,其理论知识和临床实践能力已逐渐被临床医生所接受,并在临床治疗中起到不可替代的作用,临床药师应自觉提高自身的基础知识和临床各科的学习,以更好的为患者服务。

Objective： To learn the actual situation of clinical pharmacists invovled in expert onsultation of infectious cases in our hospital so as to provide a reference basis for clinical pharmacists participating in clinical consultation. Methods： 385 infective cases recorded in the consultation registration from 2012 to 2014 were analyzed re- strospectively. Results： Of the 385 infectious cases, the most consultations applied by the department was ICU, followed by dept. of respiration medicine. And the infection sites were usually occurred in lungs with the common symptoms of high fever, cough, sputum and hypervendlation. Altogether, 346 pathogenic bacteria were detected out with a detection rate of 89.87%. The suggestions of consultation were mostly to adjust the treatments. The result of consultations showed that 109 cases recovered and 143 cases had improved themselves; 36 cases quitted therapy by families and 74 cases were not obvious in effectiveness; two cases were transferred to superior hospi- tals, and two cases died. Conclusion： Clinical pharmacists play an important and irreplaceable role in clinical thera- pies, and their theoretical knowledge and clinical practice skills have gradually been accepted by clinicians. Clinical pharmacists might as well improve their basic knowledge and learn knowledge related to different clinical depart- ments conscientiously in order to offer better services to patients.