187例临床药师参与儿科抗感染会诊回顾性分析

Retrospective Analysis of Clinical Pharmacists Participating in the Consultation for 187 Infection Cases in Paediatrics

目的:总结临床药师参与儿科抗感染会诊的经验和效果。方法:回顾性研究2014年7月~2017年6月临床药师参与本院儿科抗感染会诊的病例资料,对患者性别、年龄、原发疾病及感染部位、会诊处置意见及采纳情况、治疗效果等进行统计分析。结果:2014年7月~2017年6月我院临床药师共参与儿科抗感染会诊187例。69例为新生儿;申请药师会诊理由以指导选择、调整抗菌药物为主,计156例,占83.42%;病原学检查结果阳性患儿共105例;追踪观察病情转归情况,临床药师参与会诊的治疗总有效率为92.31%。结论:儿童感染性疾病有特殊性,临床药师参与用药实践,对促进患儿的疾病的诊治和合理用药具有重要意义。

Objective： To summarize the experience and effect of clinical pharmacists participating in the consultation for infection cases in paediatrics. Methods： All of medical records involving the anti-infective consultation of clinical pharmacists from July 2014 to June 2017 in our hospital were retrospectively analyzed,and the data including gender,age,primary diseases,infection sites,disposal opinions,suggestion adoption and treatment outcome were statistically analyzed. Results： During July 2014 to June 2017,clinical pharmacists participated in the consultation for 187 infection cases. Among them,69 cases were newborns. The consultation reasons mainly included the selection and adjustment of antimicrobial agents which accounted for 83. 42%（ 156 cases）. There were 105 cases of positive etiological examination. According to the outcome of diseases,the total effective rate of consultation performed by clinical pharmacists was 92. 31%. Conclusion： Due to the specificity of children＇s infective diseases,participaton in the treatment by clinical pharmacists is important for the diagnosis and treatment of children patients and the improvement of rational drug use in paediatrics.