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由药品不良反应/事件看我院抗菌药物临床应用药物相关问题
Analysis on Drug related Problems of Antibiotics in Clinical Application based on Adverse Drug Reaction/events in Our Hospital
  
DOI:
中文关键词:  抗菌药物  药物相关问题  药品不良反应/事件  Granada Ⅱ分类法  合理用药  安全用药
英文关键词:Antibiotics  Drug related Problems  Adverse drug reaction/events  Spanish Granada Ⅱ Classification  Rational drug use  Safe medication
基金项目:武汉市卫生与计划生育委员会科研项目(编号:WX17Z23)
作者单位
曹凤 龚文娟 吴方建 长江航运总医院药学科 武汉 430010 
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中文摘要:
      摘 要 目的:对我院抗菌药物不良反应/事件(ADR/ADE)进行调查分析,探讨我院抗菌药物临床应用的药物相关问题(drug related problems,DRPs),为我院抗菌药物的临床合理应用提供依据。方法:以我院2015年1月~2018年6月上报的242例抗菌药物相关ADR/ADE为研究对象,探讨其发生特点,同时采用DRPs分类法对抗菌药物使用的必要性、有效性、安全性进行评价研究。 结果:242例抗菌药物ADR/ADE病例中,女性多于男性,≥60岁患者占53.72%;共涉及9大类31个品种的药品,头孢菌素类构成比(47.93%)最高,左氧氟沙星和环丙沙星所致ADR/ADE病例最多,给药途径以静脉注射为主(94.63%);严重ADR/ADE 22 例(9.09%)。涉及DRPs具体问题分类有DRP2、DRP3、DRP4、DRP5、DRP6,分别为5例、12例、5例、186例和34例。结论:应重视抗菌药物临床应用的DRPs,预防抗菌药物ADR/ADE的发生,促进抗菌药物安全合理应用。
英文摘要:
      ABSTRACT Objective: Through investigating and analysing the antibiotics adverse reactions/events(ADR/ADE), discussing the drug related problems (DRPs) in the clinical application of antibacterial drugs, to provide evidence for the clinical rational application of antibacterial drugs in our hospital. Methods:242 cases of antibiotic ADR/ADE collected from January 2015 to June 2018 in our hospital as the research objects. The occurrence characteristics were discussed, and the clinical effectiveness, necessity, safety of antibacterial related problems were evaluated using classification method in our hospital. Results:Among the 242 cases of antibiotics ADR/ADE, mainly patients were over 60 years old (53.72%);9 categories and 31 varieties of antibiotics were involved. The cephalosporin constituent ratio were highest (47.93%), the levofloxacin and ciprofloxacin cases were most resulted from ADR/ADE. The route of administration was mainly intravenous injection (94.63%), and severe ADR/ADE was 22 cases (9.09%). The specific problems related to DRPs were classified into DRP2 (5 cases), DRP3 (12 cases), DRP4 (5 cases), DRP5 (186 cases), and DRP6 (34 cases). Conclusion: We should pay attention to the DRPs for the clinical application of antibacterial drugs, targeted prevention of ADR/ADE caused by antibacterial drugs, so as to promote the safe and rational application of antibacterial drugs.
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