文章摘要
姜彩娥,付南思,张健维,石芳,杨昊煜.临床药师干预糖尿病合并感染患者抗感染治疗效果对比[J].中国医药导刊,2017,19(12):1303-1305.
临床药师干预糖尿病合并感染患者抗感染治疗效果对比
Comparison of the Anti-infection Treatment Effect of Diabetes Complicated with Infections under the Intervention of Clinical Pharmacists
投稿时间:2017-02-06  修订日期:2017-09-15
DOI:
中文关键词: 内分泌专业  临床药师  干预  抗菌药物
英文关键词: Endocrine specialty  Clinical pharmacists  Intervention  Antibiotics
基金项目:河北省邯郸市科学技术研究与发展计划项目(项目编号:1523108078-1;项目名称:临床药师团队参与规范抗菌药物临床应用管理的模式探索与实践研究)
作者单位E-mail
姜彩娥 河北省邯郸市第一医院 15231823943@163.com 
付南思 河北省邯郸市第一医院药学部  
张健维 河北省邯郸市第一医院  
石芳 河北省邯郸市第一医院  
杨昊煜 河北省邯郸市第一医院  
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中文摘要:
      目的:评价临床药师干预内分泌科糖尿病合并感染患者使用抗菌药物情况。方法:调取我院内分泌科2014年6~12月(干预前)和2015年6~12月(干预后)的糖尿病合并感染患者病历,制订《抗菌药物使用情况调查表》,内容主要包括性别、年龄、糖尿病家族史、病程、血糖控制、诊断、感染诊断、抗菌药物名称、使用剂量、使用天数、抗菌药物使用强度、微生物标本送检率、住院天数、住院总费用、药物总费用、抗菌药物费用等,对数据进行比较分析。结果:糖尿病合并感染患者经由临床药师干预使用抗菌药物后,抗菌药物费用由人均1864.81元降为1300.25元,抗菌药物使用天数由平均10.25d降为8.3d,抗菌药物使用强度由12.5DDD降为9.6DDD,微生物标本送检率由42.5%提高到80%,住院天数由平均18.25d降为14.27d。结论:临床药师参与内分泌科糖尿病合并感染患者抗菌药物使用,改善了各项指标,提高了抗菌药物合理使用水平。
英文摘要:
      Objective: To evaluate the use of antimicrobial agents in diabetes complicated with infection under the intervention of endocrinology clinical pharmacists. Methods: After the collection of related patient records of June to December 2014 (before the intervention) and of June to December 2015 (after the intervention) respectively in department of endocrinology in our hospital, develop the questionnaire about the use of antimicrobial agents, mainly including gender, age, family history of diabetes, duration of disease, blood sugar control, diagnosis, infection diagnosis, antimicrobial agents name and intensity, dosage and days, the inspection rate of microbiological specimens, hospital stay, the cost of hospitalization, the cost of drugs and antimicrobial agents. The above datas were analyzed and compared. Results: After the use of antibiotics under the intervention of endocrinology clinical pharmacists, the cost of antibiotics in patients with diabetes complicated with infections decreased from 1,864.81 yuan to 1,300.25 yuan per capita; usage days of antibiotics decreased from 10.25d to 8.3d; the intensity of antimicrobial agents, 12.5DDD to 9.6DDD; hospital stay, an average of 18.25d to 14.27d; and the inspection rate of microbiological specimens increased from 42.5% to 80%.Conclusion: Clinical pharmacists participated in the use of antibiotics in department of endocrinology in patients with diabetes complicated with infections can improve the indexes and the rational use level of antibiotics.
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