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目的:以创建成功的“围手术期抗菌药物监控系统”(“监控系统”)为平台,充分发挥临床药师的主观能动性,提高围手术期合理使用抗菌药物水平。方法:监控系统在消化外科病区运行,临床药师将此系统中出现的警示信息与患者临床实际结合起来,与医师进行交流互动,促其改正。结果:在半年时间段内,“监控系统”审查出围手术期抗菌药物选择问题31例,用法用量问题28例,共59例警示,占手术总量的3.0%。临床药师从中选出有价值警示40例与医师交流互动,医师修改率达100%。结论:监控系统能有效审查出围手术期抗菌药物不合理使用问题,但还需临床药师掌握相关患者病情,将不合理用药的判断建立在每个患者的临床实际的基础上。
Objective: To create a successful “perioperative antibacterial drug monitoring system” (“monitoring system”) as a platform to give full play to the subjective initiative of pharmacists to improve the perioperative rational use of antimicrobial drugs. Methods: The monitoring system was operated in the digestive surgery ward, and the clinical pharmacist combined the warning message appeared in this system with the clinical practice of the patients to exchange and interact with the physicians to urge them to correct. Results: In the half year period, 31 patients were screened out by the Surveillance System for antimicrobial selection during the operation period. There were 28 cases of usage and dosage problems, 59 cases in total, accounting for 3.0% of the total number of operations. Clinical pharmacists selected valuable alerts 40 cases of interaction with physicians, physicians modify the rate of 100%. Conclusion: The monitoring system can effectively review the problems of irrational use of antimicrobial agents during the perioperative period. However, it is still necessary for the clinical pharmacists to master the relevant patient’s condition and establish the judgments of irrational use of drugs on the basis of clinical reality in each patient.