摘要
目的:总结某院老年患者感染性疾病特点,为经验性用药及今后的临床诊疗工作提供参考;并通过分析老年感染性疾病的特点和用药难度,体现临床药师在相关会诊中的作用和意义。方法:采用回顾性分析方法调取该院2014-2016年临床药师参与60岁以上老年感染性疾病患者会诊的病例,对老年患者感染性疾病特点和临床药师会诊情况等进行统计分析。结果:在本次纳入统计的患者中,肝功能异常占61.13%,肾功能异常占66.48%,患有基础疾病占71.55%。感染部位分布广泛,病原学检查以革兰阴性菌为主,占55.08%;使用最频繁抗菌药物为左氧氟沙星,其使用率为28.17%;会诊的科室分布广泛,覆盖41个科室;会诊的主要目的是以抗细菌药物的选择、调整为主;会诊意见采纳率高达87.60%,且意见被采纳后和未采纳组比较预后显著改善(P<0.05)。结论:老年患者感染性疾病病情复杂,临床药师可根据其特点提供针对性的药学服务,显著改善其预后。
OBJECTIVE To provide a reference for empirical drug use and clinical diagnosis and treatment in the future by summarizing the characteristics of infectious diseases in elderly patients in our hospital,reflect the role and significance of clinical pharmacists in relevant consultations by analyzing the features of senile infectious diseases and the difficulty of medication.METHODS Retrospective analysis was performed to obtain clinical consultation in senile patients over 60 years old with infection disease from 2014 to 2016 involving clinical pharmacists,characteristics of infectious diseases in elderly patients and clinical pharmacist consultation were statistically analyzed.RESULTS Most patients suffered from liver (61.13%) and kidney dysfunction (66.48%) and a variety of underlying diseases (71.55%).Infection sites were widely distributed and gram-negative bacilli infection was the most (55.08%).Levofloxacin was the most frequently used (28.17%).The departments of consultation were widespread and the main purpose was to adjust or guide the use of antibacterial drug.The comments were adopted high rate (87.60%) and the prognosis became better than unadopted group (P<0.05).CONCLUSION The infectious diseases of elderly patients are complicated and clinical pharmacists can provide targeted pharmaceutical services based on their characteristics and significantly improve their prognosis.
作者
覃佳佳
邓鋆
黄振光
邹小琴
蔡果珍
陆斯斯
黄雷
黄春
钟小斌
QIN Jia-jia;DENG Jun;HUANG Zhen-guang;ZOU Xiao-qin;CAI Guo-zhen;LU Si-si;HUANG Lei;HUANG Chun;ZHONG Xiao-bin(Department of Pharmacy, First Affiliated Hospital of Guangxi Medical University, Guangxi Nanning 530021, China;The Langdong Affiliated Hospital of Guangxi Medical University, Guangxi Nanning 530029, China)
出处
《中国医院药学杂志》
CAS
北大核心
2018年第22期2355-2359,共5页
Chinese Journal of Hospital Pharmacy
关键词
临床药师
老年患者
感染性疾病
抗菌药物
会诊
clinical pharmacist
senile patient
infection disease
antibacterial drug
consultation
