| 药师干预腹股沟疝手术预防性应用抗菌药物的临床分析 |
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| 引用本文： | 段丽芳,何光明. 药师干预腹股沟疝手术预防性应用抗菌药物的临床分析[J]. 中华医院感染学杂志, 2011, 21(16): 3464-3466 |
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| 作者姓名： | 段丽芳 何光明 |
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| 作者单位： | 北京大学深圳医院药剂科,广东,深圳,518036 |
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| 摘 要： | 目的评价医院临床药师在干预手术预防用抗菌药物的成效,进一步改进临床药学工作。方法对医院临床药师干预后(2010年1-3月)腹股沟疝Ⅰ类手术预防用药的情况进行分析,分别从平均住院时间、给药时机、药品种类、给药疗程、联合用药以及药品费用等指标与临床药师干预前(2008年1-3月)的情况进行对比分析。结果入选腹股沟疝患者56例,经过临床药师的干预措施,总的药品费用下降3.17%,抗菌药物费用下降23.36%,抗菌药物用药天数平均每例患者减少2.51 d,抗菌药物选择趋于合理,主要是第二代头孢;平均联合用药率4.07%,显著低于2008年的47.0%,差异有统计学意义(P<0.01)。结论经过临床药师的干预以及医院对抗菌药物管理加强,医院在腹股沟疝手术的预防用抗菌药物在降低患者药品费用和抗菌药物应用的合理性上有明显的改善。
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| 关 键 词： | 预防 抗菌药物 腹股沟疝 临床药师 干预 |
Intervention of prophylactic use of antibiotics to herniorrhaphy by pharmacists |
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| DUAN Li-fang,HE Guang-ming. Intervention of prophylactic use of antibiotics to herniorrhaphy by pharmacists[J]. Chinese Journal of Nosocomiology, 2011, 21(16): 3464-3466 |
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| Authors: | DUAN Li-fang HE Guang-ming |
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| Affiliation: | DUAN Li-fang,HE Guang-ming(Peking University Shenzhen Hospital,Shenzhen,Guangdong 518036,China) |
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| Abstract: | OBJECTIVE To evaluate on pharmacist-managed antimicrobial prophylaxis in medicare patients who underwent herinirrhaphy with an aim to better clarify indications and regimens for prophylaxis.METHODS Pharmacist management of antimicrobial prophylaxis was evaluated in medicare patients underwent clean heriniorrhaphy procedures from Peking University Shenzhen hospitals.RESULTS In hospitals with pharmacist-managed antimicrobial prophylaxis,drug charges were 3.17% lower(65.2 yuan less per patient,P=NS),antibiotic... |
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| Keywords: | Prevention Antibiotics Inguinal hernia Clinic pharmacist Intervention |
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