摘要
目的探讨临床药师参与股骨颈骨折临床路径中抗感染的实施效果,为促进临床合理用药提供参考。方法选择可进入临床路径的股骨颈骨折患者作为研究对象。2018年10月~2019年9月患者为对照组(n=14),2019年10月~2020年9月的患者为观察组(n=21)。临床药师参与观察组的临床路径实施,进行药学服务干预。对两组患者住院时间、住院费用、药品总费用、抗菌药费用及抗菌药物应用合理性等进行比较分析。结果两组患者的住院时间和住院总费用比较,差异无统计学意义(P>0.05);观察组患者的住院药品费用、抗菌药物费用和抗菌药物使用时间显著低于对照组(P<0.05),观察组患者的抗菌药物应用的合理性较对照组明显提高(P<0.05)。结论临床药师参与在骨科临床路径的实施,可促进临床抗菌药物合理应用,降低药品费用。
Objective To explore the effect of clinical pharmacists in participating in an-infective treatment in femoral neck fractures clinical pathways,and to provide reference for promoting rational clinical medication.Methods Patients with femoral neck fracture in the clinical pathway were Selected as research objects.14 patients from Oct.2018 to Sep.2019 were included in control group;21 patients from Oct.2019 to Sep.2020 were set as observation group.Clinical pharmacists participated in the implementation of clinical pathway in the observation group and carried out pharmaceutical care intervention.The hospitalization days,hospitalization expenses,medicine cost,antibacterial drug cost and the rationality of antibiotic application were compared between two groups.Results There were no statistical significance in differences in hospitalization days and hospitalization expenses between two groups(P>0.05).The medicine cost,the cost of antibiotics and the duration of antibacterial drug application in the observation group were significantly lower than those in the control group(P<0.05),and the rationality of antibacterial application the observation group was significantly higher than that those in the control group(P<0.05).Conclusion The participation of clinical pharmacists in the implementation of orthopedic clinical pathway can promote the rational application of clinical antimicrobial agents an reduce the cost of medicine.
作者
杜洋洋
余娜
DU Yang-yang;YU Na(Hui Ya Hospital of The First Affiliated Hospital of Sun Yat-sen university,Huizhou,516081,China)
出处
《中国处方药》
2021年第10期83-85,共3页
Journal of China Prescription Drug
关键词
临床药师
临床路径
抗感染药物
骨科
药学服务
Clinical pharmacist
Clinical pathway
Antibiotics
Orthopedics
Pharmaceutical care
