| 临床药师参与141例感染性疾病会诊的分析与体会 |
| 投稿时间：2016-03-12 修订日期：2016-10-20 点此下载全文 |
| 引用本文：张晋萍,张海霞,徐航,卞晓洁,杨贤,方芸.临床药师参与141例感染性疾病会诊的分析与体会[J].药学实践杂志,2017,35(1):89~93 |
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| 中文摘要:目的 从临床药师参与感染性疾病会诊中的案例，探讨药师如何运用专业知识参与临床药物治疗方案的调整，从而融入治疗团队。方法 统计、分析2012年8月-2015年3月临床药师参与会诊的141例感染性疾病患者的基本情况、科室分布、会诊目的、病原学检查情况、药师建议采纳情况以及患者治疗结果等。结果 141例会诊病例中，泌尿外科、肝胆外科以及神经外科会诊数量居前三位，构成比分别为26.95%、21.99%及17.73%；会诊目的中，居前三位的有特殊用药会诊、药物治疗方案调整以及药物选择，分别占85.82%、74.62%及59.57%；会诊意见全部被采纳、部分被采纳以及未被采纳者分别为133例、1例及7例，分别占94.33%、0.71%及4.96%。结论 通过参与会诊，并在会诊后持续跟进、不断学习、总结提高，临床药师可发挥专业优势，与医师一起为确保患者用药安全、有效贡献力量。 |
| 中文关键词:临床药师 感染性疾病 会诊 药物治疗 |
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| Clinical pharmacists involvement in consultation: analysis and experience of 141 cases of infectious disease |
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| Abstract:Objective To investigate how the clinical pharmacists participate in the regime design and adjustment in the treatment of infectious disease and to show how clinical pharmacists to team with physicians for patient's infection control by contributing their special knowledge.Method From August 2012 to April 2014, 141 patients were consulted by the clinical pharmacists for the infectious diseases. The patient's basic information, ward distribution, consultation purpose, etiology of infections and adoption of the suggestions were analyzed.Results Among 141 consulted cases, most patients belonged to the urology, hepatobiliary surgery and neurosurgery department (accounted for 26.95%, 21.99% and 17.73% respectively). The top three consultation subjects are the use of ‘special use class’ antimicrobials, regime adjustment and medication choice (accounted for 85.82%, 74.62% and 59.57%). 133 suggestions from clinical pharmacists were accepted, 1 was partially adopted and 7 were rejected (accounted for 94.33%, 0.71% and 4.96%).Conclusion The clinical pharmacists play important roles in the treatment of infectious disease by providing the consultations to clinicians. With their special knowledge, clinical pharmacists can make a good contribution to ensure the safe and effective drug therapies. |
| keywords:clinical pharmacist infectious diseases consultation pharmacotherapy |
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