摘要
目的探讨临床药师在重症监护病房(ICU)重症感染患者药物治疗中的作用,为ICU抗感染治疗提供参考。方法对ICU 2020年1月~2020年12月收治的98例重症感染患者进行药学监护,对治疗方案给予相应的药学建议,对相关数据进行统计分析,并结合具体案例,分析临床药师参与ICU临床药物治疗的工作内容和方法。结果临床药师共给出119条药物治疗相关建议,94条(81%)建议被临床医师完全采纳,临床药师主动用药干预为68条(58.2%),被动干预主要为用药咨询,共51次。最常见的建议为调整抗菌药物品种、剂量、给药间隔、溶媒用量等。结论临床药师参与ICU抗感染治疗具有重要意义,协助医师制定个体化抗感染方案,保证抗感染药物安全、有效、合理的使用。
Objective To explore the role and value of clinical pharmacists in drug therapy of patients with severe infection in ICU,and to provide reference for anti-infection treatment.Methods The 98 cases of severe infection patients admitted to the ICU of our hospital from January 2020 to December 2020 were treated with pharmaceutical care,and pharmaceutical suggestions were made for the treatment plan.The relevant data were extracted for statistical analysis.Combined with specific cases,the work content and methods of clinical pharmacists participating in clinical drug therapy in the ICU were analyzed.Results A total of 119 suggestions were put forward by clinical pharmacists,94(81%)of which were fully adopted by clinicians,68(58.2%)of which were active medication intervention by clinical pharmacists,and passive intervention mainly medication consultation,a total of 51 times.The most common suggestions are to adjust the variety,dosage,administration interval and solvent dosage of antimicrobial agents.Conclusion It is very necessary for clinical pharmacists to participate in anti-infective treatment in ICU,and they can assist physicians to develop safer and more effective individualized anti-infective treatment,so as to ensure the safe and reasonable use of anti-infective drugs.
作者
郑笑笑
张晓伟
徐圣秋
ZHENG Xiao-xiao;ZHANG Xiao-wei;XU Sheng-qiu(Department of pharmacy,Xuzhou First People’s Hospital,Xuzhou 221116,China)
出处
《中国处方药》
2021年第12期34-36,共3页
Journal of China Prescription Drug
基金
江苏省药学会—奥赛康医院药学科研项目(A202029)。
关键词
临床药师
重症感染
抗感染治疗
药学监护
Clinical pharmacist
Severe infection
Anti-infective therapy
Pharmaceutical care
