292例术后感染病例药学会诊分析

目的：分析临床药师参与术后感染性病例会诊特点及变化趋势,为提高药学会诊质量提供参考.方法：统计分析2009-2012年临床药师参与的292例药学会诊病例的科室分布、患者基本情况、感染部位、会诊内容、治疗转归、疗程、会诊意见被采纳情况及临床疗效.结果：脑外科、泌尿外科和普外科会诊量居前3位;19%病例不能明确感染部位,81%病例能明确感染部位,其中27%为混合感染部位,感染部位以肺部、尿路、血液及腹腔感染为主;共计会诊454次,会诊内容中调整用药方案占67%左右;98%的会诊意见能够采纳;治愈和好转率为91%,疗程2-4周多见.结论：术后感染病例的药学会诊临床采纳率和有效率较高,临床药师工作得到了医生的认可和临床的验证,仍需学习和总结,进一步提高会诊能力.

Analysis of 292 Pharmacy Consultation Cases with Postoperative Infection

Objective： To analyze the consultation characteristics and trends of clinical pharmacists＇ participation in the cases of postoperative infection to provide reference for the further work of clinical pharmacists. Methods： During 2009 to 2012, the clinical pharmacists＇ participation in 292 pharmacy consultation cases was analyzed, including department distribution, patient basic status, infection site, consultation content, treatment outcome, treatment course, consultation adoption and clinic efficacy. Results： The con- sultation cases from neurosurgery, urology and general surgery was the top three. Totally 81% cases could definite the infection sites, among them, 27% were mixed infection and the main infection sites were lung, urinal,, blood and abdominal cavity. Totally 454 times of consuhation were carried out, the percentage of regimen adjustment was about 67% , and 98% consuhation opinion was adopted.The healing and recovery rate was 91% with the treatment course of 2-4 weeks. Conclusion： The adoption rate and efficient rate of postoperative infection consultations are high, suggesting the work of clinical pharmacists is recognized and verified by doctors and clin- ic. In order to improve clinical pharmacy work, it is necessary to constantly learn and summarize for the further improvement in the a- bility of consultation.