Effects of Involvement of Clinical Pharmacists in Standardized Antibiotics Management in Urinary Surgery Department

YAN Yan; MENG Huijie; HU Yongfang

doi:10.14009/j.issn.1672-2124.2020.07.027

您当前的位置：

首页 >

文章列表页 >

Effects of Involvement of Clinical Pharmacists in Standardized Antibiotics Management in Urinary Surgery Department

更新时间：2022-10-08

- Effects of Involvement of Clinical Pharmacists in Standardized Antibiotics Management in Urinary Surgery Department
- Vol. 20, Issue 7, Pages: 876-878(2020)
- 作者机构：
  
  清华大学附属北京清华长庚医院清华大学临床医学院临床药学科
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2020.07.027
  CLC： R95
- Published：2020，
扫描看全文
[1]颜妍,孟慧杰,胡永芳.泌尿外科临床药师参与抗菌药物规范化管理的效果分析[J].中国医院用药评价与分析,2020,20(07):876-878+881.

YAN Yan, MENG Huijie, HU Yongfang. Effects of Involvement of Clinical Pharmacists in Standardized Antibiotics Management in Urinary Surgery Department. [J]. 20(7):876-878(2020)
[1]颜妍,孟慧杰,胡永芳.泌尿外科临床药师参与抗菌药物规范化管理的效果分析[J].中国医院用药评价与分析,2020,20(07):876-878+881. DOI： 10.14009/j.issn.1672-2124.2020.07.027.

YAN Yan, MENG Huijie, HU Yongfang. Effects of Involvement of Clinical Pharmacists in Standardized Antibiotics Management in Urinary Surgery Department. [J]. 20(7):876-878(2020) DOI： 10.14009/j.issn.1672-2124.2020.07.027.

摘要

目的:探讨清华大学附属北京清华长庚医院（以下简称"我院"）泌尿外科临床药师建立的抗菌药物管理新模式

并对取得的成效进行总结。方法:借鉴国外抗菌药物管理（antimicrobial stewardship

AMS）模式

参考泌尿外科抗菌药物应用相关指南及共识

我院临床药师、泌尿外科医护人员和抗感染医师共同研究讨论

制定出适用于我院泌尿外科的抗菌药物使用标准

建立泌尿外科AMS模式。调取我院泌尿外科AMS实施前（2018年1—2月出院）、实施中（2018年3—4月出院）和实施后（2018年5—6月出院）使用抗菌药物住院患者的病例信息

同时调取2018年1—6月我院泌尿外科门诊处方

对泌尿外科抗菌药物使用情况进行审核与合理性评价。结果:AMS实施前、实施中和实施后我院泌尿外科住院患者抗菌药物使用率分别为75.27%（210/279）、71.83%（204/284）和69.44%（234/337）

三者的差异无统计学意义（P> 0.05）; AMS实施前、实施中和实施后我院泌尿外科抗菌药物使用强度分别为80.41、70.69和61.94 DDDs/（100人·d）

三者的差异有统计学意义（P<0.05）; AMS实施前、实施中和实施后我院泌尿外科住院患者抗菌药物使用不适宜病例所占比例分别为26.19%（55/210）、20.10%（41/204）和11.54%（27/234）

三者的差异有统计学意义（P<0.05）; AMS实施前、实施中和实施后我院泌尿外科门诊患者抗菌药物处方所占比例分别为15.10%（335/2 218）、12.84%（330/2 570）和11.28%（324/2 873）

三者的差异有统计学意义（P<0.05）。结论:泌尿外科临床药师参与抗菌药物规范化管理

有助于促进抗菌药物的合理应用。

Abstract

OBJECTIVE: To probe into the standardized antibiotics management mode established by clinical pharmacists in urinary surgery department from Tsinghua University Affiliated Beijing Tsinghua Changgung Hospital（ hereinafter referred to as"our hospital"）

and to summarize the effectiveness.METHODS: According to the foreign antimicrobial stewardship（ AMS） mode and the relevant guidelines and consensus on the application of antibiotics in urinary surgery department

the clinical pharmacists

clinicians and nurses of urinary surgery department and antiinfective clinicians jointly studied and discussed to formulate rational application standard of antibiotics and standardized antibiotics management mode in urinary surgery department.The medical record information of inpatients with application of antibiotics in urinary surgery department before implementation of AMS（ discharged from Jan.to Feb.2018）

during implementation（ discharged from Mar.to Apr.2018） and after implementation（ discharged from May to Jun.2018） were extracted.Outpatient prescriptions of urinary surgery department from Jan.to Jun.2018 were selected.The application of antibiotics in urology surgery department was reviewed and evaluated.RESULTS: The application rate of antibiotics for inpatients in urology surgery department of our hospital before implementation of AMS

during implementation and after implementation were respectively 75.27%（ 210/279）

71.83%（ 204/284） and69.44%（ 234/337）

with no statistical significance（ P > 0.05）.The defined daily dose system were respectively80.41

70.69 and 61.94 DDDs/（ 100 people·d）

the difference was statistically significant（ P < 0.05）.The proportion of inappropriate application of antibiotics were respectively 26.19%（ 55/210）

20.10%（ 41/204） and11.54%（ 27/234）

with statistically significant difference（ P < 0.05）.The proportion of outpatient antimicrobial prescriptions were respectively 15.10%（ 335/2 218）

12.84%（ 330/2 570） and 11.28%（ 324/2 873）

with statistically significant difference（ P < 0.05）.CONCLUSIONS: The involvement of clinical pharmacists of urinary surgery department in the standardized antibiotics management is helpful to promote the rational application of antibiotics.

关键词

泌尿外科临床药师抗菌药物管理

Keywords

Urinary surgery departmentClinical pharmacistsAntibioticsManagement

references

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Consultation Analysis on 174 Cases of Intra-Abdominal Infection by Clinical Pharmacists

Analysis of Clinical Application and Management Mode of Antibiotics in A Grade Ⅲ,Level A Hospital in Ningxia

Effects of PDCA Cycles on Implementation of Antimicrobial Stewardship Program Led by Clinical Pharmacists

Clinical Situation and Application of Antibiotics in 335 Patients with Chronic Obstructive Pulmonary Disease

Effectiveness of Participation of Pharmacists in Pain Management of Knee Replacement Under Accelerated Rehabilitation

Related Author

CHENG Sheng

LUO Xiao

WEN Aiping

LIAO Yin

GUO Heng

ZHANG Chao

LI Dandan

ZHANG Yang

Related Institution

Dept. of Pharmacy, Beijing Friendship Hospital, Capital Medical University

Dept. of Reform Office,People’s Hospital of Ningxia Hui Autonomous Region/the First Affiliated Hospital of Northwest Minzu University

Dept. of Discipline inspection and Supervision Office,People’s Hospital of Ningxia Hui Autonomous Region/the First Affiliated Hospital of Northwest Minzu University

Dept. of Information Center,People’s Hospital of Ningxia Hui Autonomous Region , the First Affiliated Hospital of Northwest Minzu University

Clinical Pharmaceutics Room,the Third People’s Hospitalof Ningxia Hui Autonomous Region

⁰