我院临床药师参与156例感染病例会诊回顾性分析

Retrospectively Analyzed of Clinical Pharmacists to Participate in the Consultation of 156 Infection Cases

目的:总结我院临床药师参与感染病例会诊的经验,促进儿科临床药师更好地为患儿服务。方法:采用回顾性研究方法,对2014-2015年我院临床药师参与的所有感染病例会诊情况进行分析,内容包括患儿年龄分布、科室分布、申请药师会诊理由、会诊模式、病原学检查结果、药师建议采纳情况、患儿病情转归情况等。结果:2014-2015年我院临床药师共参与感染病例会诊156例,患儿年龄6 h^15岁,其中1岁以内占60.26%(94/156);涉及12个临床科室,其中儿外科63例(40.38%),儿内科93例(59.62%);申请药师会诊理由以指导选择、调整抗菌药物为主,占96.15%(150/156);会诊模式分为普通会诊、急会诊、多学科会诊、院内大会诊四种模式;病原学检查结果阳性患儿共79例(50.64%);药师建议全部采纳119例(76.28%),部分采纳18例(11.54%),未采纳19例(12.18%);追踪观察108例患儿病情转归情况,临床药师参与会诊的治疗总有效率为94.44%(102/108)。结论:儿科临床药师在临床诊疗活动中的地位越来越得到认可,但仍需要不断学习临床医学及药学知识,以便更好地为临床服务、为患儿服务。

Objective： To summarize clinical pharmacists to participate in the consultation of infection cases,promote better service to the children. Methods： All of our hospital from 2014 to 2015 cases of the clinical pharmacists to participate in the consultation,including the age distribution,department distribution,reasons of consultation,consultation mode,results of etiological examination,adopted situation of suggestion,and disease outcome were retrospectively analyzed. Results： Clinical pharmacists were participated in the consultation of 156 infection cases. The children＇s age was 6 hours to 15 years. There were 63 cases in surgery,93 cases in medicine. Consultation reasons were given priority to instruction selection,adjustment of antimicrobial agents,accounted for 96. 15%.There were 79 cases of positive etiological examination. Consultation opinion all adopted with 119 cases（ 76. 28%）,parts adopted 18cases（ 11. 54%）,19 cases didn ＇t adopt（ 12. 18%） respectively. Conclusion： Clinical pharmacists in the clinical diagnosis and treatment status are more and more sure,but clinical pharmacists still need to keep learning clinical and pharmaceutical knowledge,in order to better clinical services for children.