抗菌药物不合理应用的成因及干预情况分析.pdfVIP

抗菌药物不合理应用的成因及干预情况分析 班华永+(河池市东兰县人民医院，广西河池547400) 中图分类号R978 文献标志码A 文章编号 1672—2124(2014)05—0476—04 摘要 医师采纳。围术期预防用药采纳率达到100％；门诊及非手术科室的医师对禁忌证、药物相互作用、用法用量、溶媒选择以及根据 患者肝肾功能选择药物等方面的建议基本上采纳；对联合不适宜、遴选不适宜、未规范诊断、无指征用药、适应证不适宜等方面的 建议采纳程度很低。结论：临床药师干预抗茵药物不合理应用确实起到了一定的作用。医院还须加强行政干预力度，进一步规范 抗菌药物临床应用行为，开展抗菌药物合理应用教育，才能有效促进抗茵药物的合理应用。 关键词抗茵药物；不合理应用；成因；临床药师；干预 CausesofIrrationalUseofAntibacterialand ClinicalPharmacists’InterventionontheIrrationalUse Drugs ofAntibacterial Drugs BAN Hechi Hua—yong(HechiDonglanCountyPeople’s 547400，China) Hospital，Guangxi ABSTRACT OBJECTIVE：Tothecausesofthe irrationaluseofantibacterialandtherole clinical investigate persistent drugs of intheinterventiononthe pharmacists clinicaluseofantimicrobial irrationaluseofantimicrobialand drugs．METHODS：The drugs theinterventionofclinical andthe oftheir 165 advicesin casesbetween2011 and2013was pharmacistadoption analyzed．RE． the SULTS：Oftotal165cases advicesofclinical were intervention，the in105cases(63．03％)． undergoing pharmacistsadopted adviceswere in100％．Theadviceson Perioperatively，theadopted contraindications，drug solventselectionandtherecommendationsonthechoiceof basedon functionwere drugs patients’hepatorenal mostlyadoptedby advicesonthe physicians；however，the