摘要
目的:分析医院万古霉素临床使用的合理性,以便为万古霉素合理用药提供参考。方法:抽取2018年1月—2019年6月间收治的使用万古霉素治疗的住院患者90例资料作为研究对象,统计其患者治疗科室、临床诊断以及万古霉素用药相关信息等内容,分析其用药的合理性。结果:90例万古霉素使用患者中(除少数患者外)总体用药是合理的;合理用药主要表现在适应证(94.44%)、溶媒选择、用法用量、用药疗程、联合用药、病原学送检以及及时会诊方面。结论:医院万古霉素临床使用基本符合相关规定,但仍存在小部分不合理用药现象,医院应开展治疗药物监测(TDM),以确保患者万古霉素用药的合理性和安全性。
Objective:To analyze the rationality of clinical medication of vancomycin in inpatients of a hospital,in order to provide a reference for the rational use of vancomycin.Methods:The data of 90 hospitalized patients receiving vancomycin treatment from January 2018 to June 2019 were selected as the research objects,and the treatment department,clinical diagnosis and information related to vancomycin treatment were collected to analyze the rationality of vancomycin medication.Results:Most of patients were reasonable,and the reasonable conditions were as follow:indications 85 cases(94.44%),solvent selection 90 cases(100.00%),usage and dosage 84 cases(93.33%),treatment course 82 cases(92.22%),combined use of vancomycin 85 cases(94.44%),pathogenic examination 88 cases(97.78%)and timely consultation 89 cases(98.89%).Conclusion:The clinical medication of vancomycin in the hospital basically conforms to relevant regulations,but there are still a small number of unreasonable drug use.The hospital should carry out treatment drug monitoring(TDM)to ensure the rationality and safety of vancomycin medication in patients.
作者
蔡晓铁
韦秀容
欧梦婷
袁柳青
庄晓欣
CAI Xiao-tie;WEI Xiu-rong;OU Meng-ting;YUAN Liu-qing;ZHUANG Xiao-xin(Department of Pharmacy,The People's Hospital of Shanwei,Shanwei Guangdong 516600,China)
出处
《抗感染药学》
2020年第2期200-203,共4页
Anti-infection Pharmacy
关键词
万古霉素
临床使用
合理用药
治疗药物监测
vancomycin
clinical medication
rational drug use
treatment drug monitoring(TDM)
