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目的:评价我院临床药师干预骨科围术期患者抗菌药物预防性应用的效果。方法:采用回顾性方法,对我院2008年1-6月(干预前)和2010年1～6月(干预后)骨科住院患者归档病历资料进行统计、分析。结果:对围术期预防用抗菌药物进行干预后,抗菌药物的不合理应用率从86.00%降至31.00%,抗菌药物人均费用从296.32元降至89.56元。结论:临床药师干预骨科围术期预防用抗菌药物后,可显著提高围术期抗菌药物合理用药水平。
Objective: To evaluate the clinical pharmacist intervention in our hospital orthopedic patients with antimicrobial prophylactic effect. Methods: A retrospective analysis was conducted on the archived medical records of patients with orthopedics in our hospital from January to June 2008 (before intervention) and from January to June 2010 (after intervention). Results: After the intervention of perioperative prophylactic antibiotics, the irrational application rate of antibacterials decreased from 86.00% to 31.00%, and the per capita cost of antibacterials decreased from 296.32 yuan to 89.56 yuan. Conclusion: The clinical pharmacist intervention in orthopedic prophylactic use of antimicrobial agents, can significantly improve the perioperative rational use of antimicrobial drugs.