摘要
目的:分析2020年—2021年医院临床药师参与的抗感染药学会诊情况,剖析相关典型案例,为临床药师深入临床科室开展药学工作提供参考。方法:选取2020年1月—2021年12月苏州市中医医院临床药师参与的130例抗感染药学会诊病例作为研究对象,统计和分析会诊患者的科室分布、会诊的目的和会诊意见的采纳情况等,并对典型案例进行剖析和讨论。结果:130例会诊患者主要来自骨伤科(43例,占33.08%)和血液内科(30例,占23.08%),会诊的目的主要是寻求临床药师帮助以调整抗感染治疗方案(89例,占68.46%);130例患者中会诊意见被采纳的有124例(占95.38%),其中全部采纳的有113例(占86.92%),部分采纳的有11例(占8.46%);124例会诊意见被采纳的患者中,结局为治愈的有39例(占31.45%),好转的有73例(占58.87%),无效的仅有12例(占9.68%)。结论:患者在院期间的抗感染治疗需要综合考虑患者的病情进展和药物的药学特性,而临床药师的参与可以更好地协助医生制定或完善抗感染治疗方案,以确保患者用药的有效和安全。
Objective:To analyze the anti-infective pharmaceutical consultations participated by clinical pharmacists in the hospital from 2020 to 2021,analyze relevant typical cases,and provide reference for clinical pharmacists to carry out pharmaceutical work in clinical departments.Methods:A total of 130 patients of anti-infective pharmaceutical consultation participated by clinical pharmacists in Suzhou Hospital of Traditional Chinese Medicine from January 2020to December 2021 were selected as study subjects.The department distribution,purpose of consultation and adoption of consultation opinions of patients were counted and analyzed,and the typical cases were analyzed and discussed.Results:A total of 130 patients for consultation were mainly from Department of Orthopedics and Traumatology(43 patients,33.08%)and Department of Hematology(30 patients,23.08%).The purpose of the consultation was to seek the help of clinical pharmacists to adjust the anti-infection treatment regimens(89 patients,68.46%).Among 130 patients,the consultation opinions for 124 patients(95.38%)were adopted,of which the consultation opinions for 113 patients(86.92%)were wholly adopted,and those for 11 patients(8.46%)were partially adopted.Among 124 patients for whom consultation opinions were adopted,39 patients(31.45%)were cured,73 patients(58.87%)were improved,and only 12 patients(9.68%)were invalid.Conclusion:In anti-infection treatment of patients during hospitalization,disease progression of patients and pharmaceutical properties of drugs should be considered comprehensively,and participation of clinical pharmacists can better assist doctors in developing or improving the anti-infection treatment regimens to ensure the medication effectiveness and safety of patients.
作者
金惠静
缪洁
袁静
韩赟
JIN Hui-jing;MIAO Jie;YUAN Jing;HAN Yun(Department of Pharmacy,Suzhou Hospital of Traditional Chinese Medicine,Suzhou Jiangsu 215000,China)
出处
《抗感染药学》
2022年第9期1380-1382,共3页
Anti-infection Pharmacy
关键词
药学会诊
临床药师
案例分析
pharmaceutical consultation
clinical pharmacist
case analysis
