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目的:研究分析临床药师参与妇产科抗菌药物管理实践的效果。方法:利用医院信息系统,调阅妇产科2011年6~12月(整改前)、2013年9~12月(整改后第一阶段)、2014年6~12月(整改后第二阶段)门、急诊患者的病历资料,对该科抗菌药物处方率、住院患者抗菌药物使用率、人均费用(销售金额)、住院患者抗菌药物费用与总药物费用的占比(使用强度)、Ⅰ类切口手术患者抗菌药物预防性使用率(围术期患者预防用的抗菌药品使用率)、使用特殊级别抗菌药物的用量占抗菌药物总用量的百分比、药品总销售金额、住院患者的病原学送检率、患者平均住院时间等指标进行统计分析。结果:专项整改活动后,反应抗菌药物临床应用合理性的各项评价指标均有较为显著的提高。结论:临床药师参与妇产科抗菌药物的管理,对于提高抗菌药物临床应用合理性具有重要意义。
Objective: To study the effect of clinical pharmacists participating in the practice of antimicrobials management in obstetrics and gynecology. Methods: The hospital information system was used to refer to the obstetrics and gynecology department from June to December 2011 (before rectification), from September to December 2013 (the first phase after rectification), from June to December 2014 (the second phase after rectification) Door and emergency patient records, the Division of antibacterial drug prescription rate, inpatient antibacterial drug usage, per capita cost (sales amount), inpatient antibacterial drug costs and the proportion of total drug costs (intensity of use), type Ⅰ incision The prophylactic use of antimicrobial agents (perioperative patients with antimicrobial use rate), the use of special antimicrobial drugs accounted for the percentage of the total amount of antimicrobial drugs, the total sales of drugs, the rate of etiology of inpatients , Average length of hospital stay and other indicators for statistical analysis. Results: After the special rectification activities, the evaluation indexes of the rationality of the clinical application of antimicrobial agents were all significantly improved. Conclusion: The participation of clinical pharmacists in the management of obstetrics and gynecology antibiotics is of great significance to improve the rationality of clinical application of antibiotics.