文章摘要
杨阳,钟雪,张翠莲,左玮,邹羽真,都丽萍,闫雪莲,胡扬,刘容吉,张波.临床药师参与感染性疾病会诊病例的分析与效果评价[J].中国药事,2021,35(1):184-190
临床药师参与感染性疾病会诊病例的分析与效果评价
Evaluation of the Effectiveness of Clinical Pharmacists’ Consultation in the Treatment of Infectious Diseases
  
DOI：10.16153/j.1002-7777.2021.02.010
中文关键词: 临床药师  感染性疾病  会诊  效果评价
英文关键词: clinical pharmacist  infection diseases  consultation  evaluation of effectiveness
基金项目:吴阶平医学基金会临床科研专项资助基金(编号 320.6750.19090-5)
作者单位
杨阳 中国医学科学院北京协和医院,北京 100730 
钟雪 北京大学人民医院,北京 100044 
张翠莲 中国医学科学院北京协和医院,北京 100730 
左玮 中国医学科学院北京协和医院,北京 100730 
邹羽真 中国医学科学院北京协和医院,北京 100730 
都丽萍 中国医学科学院北京协和医院,北京 100730 
闫雪莲 中国医学科学院北京协和医院,北京 100730 
胡扬 中国医学科学院北京协和医院,北京 100730 
刘容吉 中国医学科学院北京协和医院,北京 100730 
张波 中国医学科学院北京协和医院,北京 100730 
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中文摘要:
      目的：分析感染性疾病会诊病例的特点，探讨临床药师在会诊工作中发挥的作用。方法：收集北京协和医院2016-2019年临床药师参与的感染性疾病相关会诊病例的基本信息，包括科室分布、会诊目的、会诊病例特点(患者年龄、感染部位、病原学)、会诊意见采纳情况、患者治疗转归。结果： 2016-2019年临床药师参与的抗感染药学会诊174例，其中有效病例103例。ICU、血液内科、急诊科会诊需求较大；会诊目的以抗感染药物的选择为主；感染以肺部感染最为多见；目标性治疗的病原体以泛耐药的革兰阴性杆菌多见；会诊意见的采纳率为91.26%，且采纳意见组患者的治疗有效率明显高于未采纳组(75.53% VS 33.33%，P=0.021)。结论：抗感染药学会诊的临床采纳率和有效率较高，临床药师在会诊中的价值得到临床认可，但会诊后的随访需进一步完善。
英文摘要:
      Objective: To explore the role of clinical pharmacists in consultation cases through the analysis of the features of pharmaceutical consultation cases in infectious diseases. Methods: The pharmaceutical consultation cases in infectious diseases from 2016 to 2019 in Peking Union Medical College Hospital were collected, including the department distribution, consultation purpose, the characteristics of the cases (patients’ age, infection site and pathogen), the consultation advice adoption and clinical efficacy. Results: Totally 174 pharmaceutical consultation cases in infectious diseases were carried out by clinical pharmacists from 2016 to 2019, of which 103 cases were enrolled in this study. The quantity of consultation cases from the departments of the Intensive Care Unit, hematology, and emergency were listed as the top three. The choices of anti-infection drug made up the majority of consultation purposes. Pneumonia was the most common type of infection, and the most common pathogens for targeted treatment were extensive drug resistant gram-negative bacilli. The adoption rate of consultation suggestions was 91.26%, and the effective rate of patients in the adoption groupwas significantly higher than that of the non-adopted group (75.53% VS 33.33%, P=0.021). Conclusion: Based on the high adoption rate and effective rate of anti-infection pharmaceutical consultation, the value of clinical pharmacists in consultation has been recognized, while the follow-up after consultation needs to be further improved.
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