临床药师在抗菌药物科学化管理下促进外科抗菌药物合理使用的实践

Practice of Clinical Pharmacists in Promoting the Rational Use of Surgical Antibiotics under the Antimicroboal Stewardship

目的在抗菌药物科学化管理下对外科住院患者使用抗菌药物合理性进行实时点评,促进抗菌药物合理使用。方法2021年12月~2023年05月临床药师利用东华系统调取抗菌药物使用情况,并对使用抗菌药物的外科住院患者进行实时点评,发现问题后与临床医生及时沟通、干预并汇总。结果2021年12月~2023年05月共点评2597例外科住院患者,其中临床药师干预190例,干预率7.32%,临床医生采纳168例,采纳率88.42%。结论通过临床药师实时点评住院医嘱,能够及时发现抗菌药物的不合理使用情况,并将不合理使用情况及时通过电话形式反馈给主管医生,更有利于促进抗菌药物的合理使用。

OBJECTIVE To promote the rational use of antibiotics through real-time evaluation of their rationality in surgical inpatients under the antimicroboal stewardship.METHODS From December 2021 to May 2023,the clinical pharmacists used the Donghua system to retrieve the usage of antibiotics and conducted real-time evaluations of surgical inpatients who used antibiotics.Once issues were identified,they communicated with clinical doctors,and intervened the issues in a timely manner.RESULTS From December 2021 to May 2023,a total of 2597 inpatients from different departments were reviewed.Among them,190 cases were intervented by clinical pharmacists with an intervention rate of 7.32%,and 168 cases were adopted with an adoption rate of 88.42%(168/190).CONCLUSION Through real-time evaluation of inpatient medical orders by clinical pharmacists,it is possible to promptly identify the unreasonable use of antibiotics and provide feedback to the supervising doctor via phone,which is more conducive to promoting the rational use of antibiotics.