Specialized Management and Rationality Analysis of Carbapenems and Tigecycline in One Hospital

ZHOU Chengyue; ZHANG Lei; ZHU Na; CAI Heping; CHEN Guanru; LUO Zhihong

doi:10.14009/j.issn.1672-2124.2020.08.025

您当前的位置：

首页 >

文章列表页 >

Specialized Management and Rationality Analysis of Carbapenems and Tigecycline in One Hospital

更新时间：2022-10-08

- Specialized Management and Rationality Analysis of Carbapenems and Tigecycline in One Hospital
- Vol. 20, Issue 8, Pages: 989-992(2020)
- 作者机构：
  
  1. 安徽省儿童医院药剂科
  2. 安徽医科大学第四附属医院药剂科
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2020.08.025
  CLC： R969.3
- Published：2020，
扫描看全文
[1]周宬玥,张磊,朱娜,蔡和平,陈冠儒,罗志红.某院碳青霉烯类抗菌药物和替加环素专档管理调查与合理使用情况分析[J].中国医院用药评价与分析,2020,20(08):989-992+995.

ZHOU Chengyue, ZHANG Lei, ZHU Na, et al. Specialized Management and Rationality Analysis of Carbapenems and Tigecycline in One Hospital. [J]. 20(8):989-992(2020)
[1]周宬玥,张磊,朱娜,蔡和平,陈冠儒,罗志红.某院碳青霉烯类抗菌药物和替加环素专档管理调查与合理使用情况分析[J].中国医院用药评价与分析,2020,20(08):989-992+995. DOI： 10.14009/j.issn.1672-2124.2020.08.025.

ZHOU Chengyue, ZHANG Lei, ZHU Na, et al. Specialized Management and Rationality Analysis of Carbapenems and Tigecycline in One Hospital. [J]. 20(8):989-992(2020) DOI： 10.14009/j.issn.1672-2124.2020.08.025.

摘要

目的:了解安徽医科大学第四附属医院（以下简称"该院"）住院患者碳青霉烯类抗菌药物和替加环素的临床使用情况

探讨用药合理性

以进一步规范碳青霉烯类抗菌药物和替加环素的专档管理及临床医师的合理应用。方法:回顾性选取2018年10月至2019年3月该院使用碳青霉烯类抗菌药物及替加环素的315例出院患者

进行合理用药专项点评和统计分析

找出存在的问题并采取解决措施。结果:315例患者碳青霉烯类抗菌药物（含美罗培南、亚胺培南西司他丁钠和比阿培南）、替加环素的合理使用率偏低

仅183例合理（占58.1%）;不合理用药132例

主要为适应证不适宜

其次为专档管理填报率较低、病程中用药记录不完整以及会诊单未填写等。结论:该院碳青霉烯类抗菌药物和替加环素在临床使用过程中存在很多问题

专档管理率较低

需继续加强对其管理

定期开展专项点评工作

提高临床医师合理用药水平

减少耐药菌的产生。

Abstract

OBJECTIVE:To investigate the clinical application status of carbapenems and tetracycline in inpatients in the Fourth Affiliated Hospital of Anhui Medical University（hereinafter referred to as "the hospital "）

and to explore the rationality of drug application

so as to further standardize the specialized management and the rational application of carbapenems and tetracycline by clinicians.METHODS:Retrospective analysis was conducted on 315 discharged patients who received carbapennenes and tetracycline from Oct.2018 to Mar.2019.Special review and statistical analysis were performed on rational drug application to find out the existing problems

and corresponding measures were taken.RESULTS:The rational application rate of carbapenems（including meropenem

imipenem

cilastatin sodium and piapenem） and tegacycline in 315 patients was relatively low

only 183 cases（58.1%） were rational.There were 132 cases of irrational drug application

mainly due to improper indications

followed by low filling rate of special management

incomplete medication records in the course of disease

and incomplete consultation forms.CONCLUSIONS:There are many problems in the clinical application of carbapenems and tigecyline

the specific management rate is low.It is necessary to strengthen the management

regularly carry out special review work

improve the level of rational drug application by clinicians

and reduce the generation of drug-resistant bacteria.

关键词

碳青霉烯类抗菌药物替加环素专档管理合理用药

Keywords

CarbapenemsTigecyclineSpecialized managemantRational drug application

references

查看原文

Views

134

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Domestic and Foreign Literature of Adverse Drug Reactions Induced by Tigecycline

Application Rationality of Traditional Chinese Medicine Injections in Our Hospital from the Perspective of Adjuvant Drug Management

Key Points and Reflections of Rational Clinical Application of Anti-Tumor Traditional Chinese Medicine Injection

Application Rationality of Probiotics in Children with Inflammatory Bowel Disease in Two Children’s Hospitals of Beijing

Systematic Review of Risk of Superinfection Induced by Carbapenems

Related Author

PENG Fangchen

ZHENG Bin

LU Ruqi

REN Junli

ZHOU Xuanping

GAO Xu

MA Juanjuan

SHI Jing

Related Institution

Dept.of Pharmacy, Shanxi Provincial People’s Hospital

School of Pharmacy, Shanxi Medical University

Dept.of Pharmacy, Traditional Chinese Medicine Hospital of Hebei Luanping County

Dept.of Pharmacy, Hebei Provincial Hospital of Traditional Chinese Medicine, Hebei Industrial Technology Institute for Traditional Chinese Medicine Preparation

Dept.of Medical Oncology, Guang’anmen Hospital of China Academy of Chinese Medical Sciences

⁰