| 摘要: |
| 目的：评价临床药师在耳鼻喉科开展药学服务的效果，探讨临床药师在促进临床合理使用抗菌药物中的作用。方法：先后从两个方面来评价临床药师在临床工作中提供药学服务的效果，一是对我院耳鼻喉科围手术期抗菌药物使用不合理情况进行回顾性分析,制定和实施干预措施；二是分析该病区抗菌药物使用强度值（DDDs）偏高的原因，制定和实施干预措施以帮助降低抗菌药物的DDDs值。结果：临床药师在我院耳鼻喉科开展药学服务后，围手术期抗菌药物使用不合理率从91.92%降至40.44%，具体表现在用药指征不当、用药品种不当、用药时机不当和用药时长不当；干预后6个月的抗菌药物使用强度值的平均值从20.57降低至13.40。结论：临床药师在我院耳鼻喉科开展药学服务后，围手术期预防用抗菌药物的不合理现象得到了明显的改善，抗菌药物使用强度值明显下降，但是不合理用药情况仍然存在，需要临床药师与医师进一步的共同努力。 |
| 关键词: 临床药师 抗菌药物 围手术期 合理用药 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2022.12.002 |
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| 基金项目: |
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| Effect Evaluation of Pharmaceutical Care Provided by Clinical Pharmacists in Otolaryngology Department of a Children’s Hospital |
| Li Guifeng, Wang Wenjuan |
| (Children’s Hospital of Soochow University, Jiangsu Suzhou 215001, China) |
| Abstract: |
| Objective: To evaluate the effect of pharmaceutical care provided by clinical pharmacists in otolaryngology department, and to explore the role of clinical pharmacists in promoting the rational use of antibiotics in clinic. Methods: The role of clinical pharmacists in providing pharmaceutical care in clinical practice was evaluated from two aspects. The first was to retrospectively analyze the irrational use of antibiotics in the otolaryngology department of our hospital during perioperative period, and to formulate and implement intervention measures. The second was to analyze the reasons for high daily defined dose system (DDDs) in this ward, and to formulate and implement intervention measures to lower the DDDs of antibiotics. Results: After clinical pharmacists carried out pharmaceutical care in otolaryngology department of our hospital, the irrational use rate of antibiotics during perioperative period decreased from 91.92% to 40.44%, manifested in improper medication indication, improper drug varieties, improper medication timing, and improper medication duration. The mean use intensity of antibiotics decreased from 20.57 to 13.40 after 6 months of intervention. Conclusion: After implementation of pharmaceutical care provided by clinical pharmacists in otolaryngology department, the irrational use of antibiotics during perioperative period has been significantly improved, and the use intensity of antibiotics has been decreased significantly. However, the irrational use of antibiotics still exists, which requires further joint efforts of clinical pharmacists and clinicians. |
| Key words: clinical pharmacists antibiotics perioperative period rational drug use |
