某院实施抗感染药学会诊的老年患者的临床特征分析

Analysis of Clinical Characteristics of Elderly Patients Receiving Anti-infective Pharmaceutical Consultation in a Hospital

目的:分析医院实施抗感染药学会诊的老年患者的临床特点,为临床老年患者持续改善药学服务提供参考。方法:通过医院信息系统,选取2021年12月—2023年12月贵州医科大学第二附属医院收治的实施了抗感染药学会诊的3328例患者作为研究对象,采集患者的年龄、基础疾病、肝肾功能、感染部位、科室分布、会诊原因、会诊意见采纳情况、病情转归、患者满意度等信息,分析其中老年患者的相关临床特点。结果:临床3328例接受抗感染药学会诊的患者中,老年患者有1433例(占43.06%);1433例老年患者中,年龄主要集中于>60~80岁(1217例,占84.93%),绝大多数患者(1350例,占94.21%)存在3种以上基础疾病,多数患者(1008例,占70.34%)为多部位感染,此外多数患者(964例,占67.27%)在药学会诊前进行了微生物检查;1433例老年患者分布在28个临床科室,其中前5位的依次为重症医学科(434例,占30.29%)、肿瘤科(155例,占10.82%)、肾病风湿免疫科(100例,占6.98%)、骨外科(76例,占5.30%)和血液科(72例,占5.02%);老年患者会诊的原因主要为“抗感染方案效果欠佳”(1123例,占78.37%);会诊结束后,绝大多数患者完全执行了会诊意见(1405例,占98.05%),并且大多数患者的病情都得到了好转(1210例,占86.12%);抽样调查显示,医生对临床药师药学会诊的总体满意度高达99.33%。结论:临床药师对老年患者开展抗感染药学会诊,不仅切实帮助患者获得了更好的治疗效果,还收获了临床医生的认可与肯定,也是彰显了临床药师的专业能力和价值。

Objective:To analyze the clinical characteristics of elderly patients who received anti-infective pharmaceutical consultation in the hospital and provide a reference for the continuous improvement of pharmaceutical services for elderly patients in the clinical practice.Methods:A total of 3328 patients who received anti-infective pharmaceutical consultation in the Second Affiliated Hospital of Guizhou Medical University from December 2021 to December 2023 were selected as the research objects through the hospital's information system.The information such as patients'age,underlying diseases,liver and kidney functions,infection sites,department distribution,reasons for consultation,consultation opinions of clinical pharmacists and their adoption,disease outcome,patient satisfaction was collected,and the relevant clinical characteristics of the elderly patients were analyzed.Results:Among the 3328 patients who received anti-infective pharmaceutical consultation,1433 cases were elderly patients(43.06%).Among the 1433 elderly patients,their ages were mainly in the range of 60 to 80 years old(1217 cases,84.93%);the vast majority of patients(1350 cases,94.21%)had more than three underlying diseases,and most patients(1008 cases,70.34%)had infections in multiple sites.In addition,most patients(964 cases,67.27%)underwent microbiological examinations before pharmaceutical consultation.The 1433 elderly patients were distributed in 28 clinical departments,among which the top five were critical care medicine(434 cases,30.29%),oncology(155 cases,10.82%),nephrology and rheumatology(100 cases,6.98%),orthopedics(76 cases,5.30%)and hematology(72 cases,5.02%).The main reason for consultation for elderly patients was"poor effect of anti-infection regimen"(1123 cases,78.37%);after the consultation,the vast majority of patients fully followed the consultation opinions(1405 cases,98.05%),and the conditions of most patients improved(1210 cases,86.12%).The sampling survey showed that the doctors'overall satisfaction with clinical pharmacists'pharmaceutical consultation was as high as 99.33%.Conclusion:Clinical pharmacists conduct anti-infective pharmaceutical consultation for elderly patients,which not only effectively helps patients to achieve good therapeutic effect,but also gains the recognition and affirmation from clinicians and demonstrates the professional ability and value of clinical pharmacists.