临床药师参与颅内感染会诊病例回顾性分析

Retrospective analysis of clinical pharmacists participating in consultation of intracranial infection

目的:总结临床药师在颅内感染患者会诊中的经验,为临床治疗提供参考。方法:对2020年1月至2021年12月广西壮族自治区人民医院临床药师参与神经外科颅内感染患者会诊病历进行回顾性分析。结果:临床药师共参与颅内感染会诊551次(会诊患者314人),会诊意见完全采纳499次(276人),完全采纳率90.6%,总体有效率89.1%。会诊目的以申请使用特殊使用级抗菌药物为主,万古霉素使用频次最高。病原学检出率低,为11.8%。结论:临床药师参与颅内感染患者抗感染会诊,可从药学角度探讨颅内感染抗菌药物使用的合理性,提高抗感染治疗效果。

OBJECTIVE To summarize the experiences of clinical pharmacists’participation in the treatment with intracranial infection,so as to provide reference for the treatment.METHODS Census the clinical pharmacists’participation in the consultations of the neurosurgery patients who have intracranial infection during January 2020 to December 2021in People’s Hospital of Guangxi Zhuang Autonomous Region.RESULTS Linical pharmacists participated in 551 consultations on intracranial infection(314 patients),499(276)of whom were completely adopted,with a complete adoption rate of 90.6%,the overall effective rate was 89.1%.The purpose of consultation was mainly to apply for antibiotics for special use,and vancomycin was used most frequently.The detection rate of etiology was 11.8%.CONCLUSION The participation of clinical pharmacists in patients with intracranial infection treatment can promote the rationality of the use of anti-bacterial drugs in intracranial infection from the perspective of pharmacy,and improve the effectiveness of clinical anti-infective diagnosis and treatment.