临床药师参与236例感染性病例的会诊分析

目的 了解临床药师参与感染性疾病会诊病例特点,探讨多重耐药及泛耐药细菌感染的特点及治疗策略.方法 回顾性分析236例感染性病例的资料,按照性别、年龄、高危感染因素、病原菌及其耐药情况、治疗结果等进行统计分析.结果 会诊患者年龄分布中60岁以上老年人的比例占63.98％,会诊意见总体被采纳情况较好(总体接受率占99.15％),多重耐药细菌(MDR)、广泛耐药细菌(XDR)、泛耐药细菌(PDR)总体治疗效果较好,总有效率为78.05％.结论 临床药师通过参与感染性病例的会诊,在为患者进行抗感染治疗方案的制定和患者病情的转归方面发挥了重要作用.

Participation of clinical pharmacists in consultation on 236 cases of infectious diseasesSU Dan,JIANG Ling,NING Lijuan,SHI Tianlu (Department of Pharmacy,The Affiliated Provincial Hospital of Anhui Medical University, Hefei,Anhui 230001,China) Abstract:Objective

Objective To study the characteristics of consultation on infectious diseases that clinical pharmacists participated in and to discuss the characteristics and treatment strategies of MDR/XDR/PDR bacterial infection.Methods All the infectious disease 236 cases that clinical pharmacists took part in were enrolled.All the data were analyzed as to gender,age,risk factors,pathogenic bacteria,their drug resistance and the outcomes et al.Results In this study,the age more than sixty years old was 63.98％.The accepted of clinical pharmacists' suggestions was very good (the overall acceptance ratio was 99.15％).The treatment result of MDR/XDR/PDR is 78.05％.Conclusion Clinical pharmacist participating in therapy for bacteria infection have been achieved good therapeutic efficacy.Reflects clinical pharmacists have played an important role in anti-infection drug treatment and prognosis of hospitalized patients.