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目的:总结我院临床药师参与感染病例会诊的经验,促进儿科临床药师更好地为患儿服务。方法:采用回顾性研究方法,对2014-2015年我院临床药师参与的所有感染病例会诊情况进行分析,内容包括患儿年龄分布、科室分布、申请药师会诊理由、会诊模式、病原学检查结果、药师建议采纳情况、患儿病情转归情况等。结果:2014-2015年我院临床药师共参与感染病例会诊156例,患儿年龄6 h~15岁,其中1岁以内占60.26%(94/156);涉及12个临床科室,其中儿外科63例(40.38%),儿内科93例(59.62%);申请药师会诊理由以指导选择、调整抗菌药物为主,占96.15%(150/156);会诊模式分为普通会诊、急会诊、多学科会诊、院内大会诊四种模式;病原学检查结果阳性患儿共79例(50.64%);药师建议全部采纳119例(76.28%),部分采纳18例(11.54%),未采纳19例(12.18%);追踪观察108例患儿病情转归情况,临床药师参与会诊的治疗总有效率为94.44%(102/108)。结论:儿科临床药师在临床诊疗活动中的地位越来越得到认可,但仍需要不断学习临床医学及药学知识,以便更好地为临床服务、为患儿服务。
OBJECTIVE: To summarize the experience of clinical pharmacists participating in the consultation of infectious diseases in our hospital and to promote the pediatric clinical pharmacists to better serve their children. Methods: The retrospective research methods were used to analyze all the cases of infectious diseases involved in the clinical pharmacists in our hospital during 2014-2015, including the distribution of children’s age, department distribution, the reasons for applying for pharmacist consultation, the mode of consultation, the results of etiological examination, Advice to adopt the situation, the prognosis of children and other conditions. Results: From 2014 to 2015, 156 clinical infertility clinics were involved in the clinical pharmacists in our hospital. The children aged 6 to 15 years, of which 60.26% (94/156) were within 1 year of age. There were 12 clinical departments involved, of which 63 (40.38%), 93 cases of pediatric medicine (59.62%); application pharmacists to guide the selection of the reasons for the consultation, adjustment of antibacterial drugs, accounting for 96.15% (150/156); consultation mode is divided into general consultation, emergency consultation, multidisciplinary 79 cases (50.64%) had positive etiological examination results; the pharmacists suggested that 119 cases (76.28%) should be adopted, 18 cases (11.54%) should be partially adopted, and 19 cases (12.18 %); Follow-up observation of 108 cases of children’s condition, the total effective rate of clinical pharmacists attending the consultation was 94.44% (102/108). Conclusion: Pediatric clinical pharmacists have gained more and more recognition in the clinical diagnosis and treatment activities. However, they still need to learn more about clinical medicine and pharmacy so as to better serve their clinical needs and serve their children.