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临床药师对骨科Ⅰ类切口预防用抗菌药的干预效果
Department of Clinical Pharmacology, Wuhan General Hospital, Guangzhou Military Command, Wuhan 430070, China
投稿时间:2011-10-08  修订日期:2012-01-08
DOI:
中文关键词:  临床药师  骨科  围手术期  抗菌药  干预
英文关键词:Clinical pharmacists  Orthopedics department  Perioperative period  Antibiotics  Intervention
基金项目:
作者单位
张清华 广州军区武汉总医院临床药理科(武汉 430070) 
辛华雯 广州军区武汉总医院临床药理科(武汉 430070) 
余爱荣 广州军区武汉总医院临床药理科(武汉 430070) 
何艳 广州军区武汉总医院临床药理科(武汉 430070) 
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中文摘要:
      摘 要 目的:分析药学干预对骨科内固定取出术预防用抗菌药的效果。方法:选取我院骨科2011 年1~4月(干预前组)和2011 年8~10月(干预后组)出院的内固定取出术病例,进行汇总、分析,评价抗菌药应用的合理性。结果:通过干预,抗菌药使用率从干预前的100%下降为36.08%;用药时机及用药疗程有了较大改善,抗菌药的不合理换用情况明显减少,患者的平均住院天数减少。结论:临床药师通过实施用药干预对促进医院安全、有效、经济地使用抗菌药起到了积极作用。
英文摘要:
      ABSTRACT Objective: To analyze the effect of pharmaceutical intervention in antibiotics used for internal device removal surgery in the orthopedics department.Method:The discharged cases of the internal device removal surgery in the orthopedics department from January to April 2011 were selected as the controlled group, and the same cases from August to October as the intervention group. Then we conducted a retrospective study for analysis, and evaluated the rationality of the application of antibiotics.Result:Through the intervention, the rate of using antibiotics decreased from the previous 100% to 36.08%, the time and the course of using antibiotics improved, the improper change of antibiotics was apparently reduced,and the average hospital stay was shortened.Conclusion:Clinical pharmacists' intervention played a positive role in the contribution to a safe, effective and economical application of antibiotics.
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