药学干预模式对儿科门急诊抗感染药物合理应用影响分析

Analysis of Effects of Pharmaceutical Intervention Model on the Rational Application of Anti-infective Drugs in Outpatient Emergency of Pediatric Department

目的分析药学干预模式对儿科门急诊抗感染药物合理应用的影响。方法选择医院2016年8月—2018年3月儿科门急诊抗感染药物处方4 500张,采用药学干预措施,持续干预6个月,对药学干预前(2016年8月—2017年5月,2 200张)和药学干预后(2017年6月—2018年3月,2 300张)的儿科抗感染药物的使用情况进行统计及合理性评价分析。对比干预前后抗感染药物使用的不合理指标数、不合理处方数、处方不合格率及干预后再犯率与新增率情况。结果干预后儿科门急诊抗感染药物使用的不合理指标数、不合理处方数均少于干预前(P <0.05)。抗感染药物使用的处方不合格率低于干预前(P<0.05)。抗感染药物使用的再犯率及新增率均≤10%,药学干预取得较好效果。结论药学干预模式可有效促进儿科门急诊抗感染药物的合理应用。

Objective To analyze the effects of pharmaceutical intervention model on the rational application of anti-infective drugs in outpatient emergency of pediatric department.Methods A total of 4 500 prescriptions of anti-infective drugs in outpatient emergency of pediatric department from August 2016 to August 2017 were selected,and pharmaceutical intervention was made continuously for 6 months.The use of antiinfective drugs in pediatric department before pharmaceutical intervention(from August 2016 to May 2017,2 200 pieces)and after pharmaceutical intervention(from June 2017 to March 2018,2 300 pieces)were counted and rationally evaluated.The number of unreasonable indicators,the number of unreasonable prescriptions,the rate of unqualified prescriptions of anti-infective drugs use before and after intervention,and the recidivism rate and newly increased rate after intervention were compared.Results After intervention,the number of unreasonable indicators and the number of unreasonable prescriptions of anti-infective drugs use in outpatient emergency of pediatric department were significantly lower than those before intervention(P<0.05).The rate of unqualified prescriptions of antiinfective drugs use was significantly lower than that before intervention(P<0.05).The recidivism rate and newly increased rate of anti-infective drugs use both were≤10%,and they were successfully corrected by pharmaceutical intervention.Conclusion Pharmaceutical intervention model can effectively promote the rational application of anti-infective drugs in outpatient emergency of pediatric department.