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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。
OBJECTIVE: To analyze the characteristics and trends of clinical pharmacists participating in postoperative infectious diseases consultation, and to provide reference for improving the quality of pharmacy consultation. Methods: The distribution of 292 cases of pharmacy consultation between 2009 and 2012 were analyzed statistically. The basic situation of patients, the location of infection, the contents of consultation, treatment outcome, duration of treatment, consultation opinions were adopted and clinical efficacy. Results: The first three places were in the Department of Neurosurgery, Urology and General Surgery. Twenty-nine percent of the patients could not clear the site of infection. Eighty-one percent of the cases could be infected. 27% Blood and abdominal infections; a total of 454 consultations, the consultation program to adjust the medication program accounted for about 67%; 98% of consultation views can be adopted; cure and improvement rate was 91%, treatment 2 to 4 weeks more common. Conclusion: The clinically accepted rate and effective rate of clinical consultation of patients with postoperative infection are high. The work of clinical pharmacists has been approved by doctors and clinical validation. Learning and summarizing are still needed to further improve consultation ability.