摘要
目的探讨药师临床干预前、后儿科抗生素应用不合理的情况,为临床合理选择抗生素提供参考。方法选取2015年1月至2015年12月在我院诊治的患儿1 800例,将2015年1月至2015年6月收治的未干预的1 000例患儿设为未干预组,将2015年7月至2015年12月收治的干预的800例患儿设为干预组,记录两组患儿的治疗效果及抗生素不合理使用情况。结果干预组的治疗总有效率为98.5%,高于未干预组的92.2%(P<0.05);干预组患儿的抗生素不合理使用率为1.5%,明显低于未干预组的5.8%(P<0.05)。不合理使用抗生素的70例患儿中,用法不合理34例、用量不合理16例、配药不合理12例、溶媒选择不合理8例。结论儿科抗生素应用不合理情况比较常见,药师临床干预能减少儿科抗生素应用不合理情况,提高治疗疗效。
Objective To discuss the unreasonable usage of anti biotics before and after the clinical intervention by pharmacist, and provide reference for selecting antibiotics on clinical. Methods A total of 1800 cases of children diagnosed and treated in our hospital from January 2015 to December 2015 were selected. From January 2015 to June2015, 1000 non intervention children were treated as no intervention group. From July 2015 to December 2015, 800 intervention children were treated as intervention group. The treatment effect and irrational use of antibiotics were recorded in the two groups. Results The total effective rate of the total intervention group was 98.5%, which was higher than 92.2% of the no intervention grou p(P〈0.05). The irrational use rate of antibiotics in the intervention group was 1.5%, which was significantly lower than 5.8% in the no intervention group(P〈0.05). Among 70 unreasonable usage cases, there were 34 cases of methods unreasonable, 16 cases of doses unreasonable, 12 cases of prescription unreasonable, and 8 cases of solvent selection unreasonable. Conclusion It is common that unreasonable usage of antibiotics in pediatrics. However, clinical intervention by pharmacist can reduce the unreasonable usage situation in pediatrics, and improve the clinical efficacy.
出处
《临床医学研究与实践》
2017年第20期90-91,共2页
Clinical Research and Practice
关键词
药师
抗生素
不合理使用
配药不合理
pharmacist
antibiotics
unreasonable usage
unreasonable prescription