中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
EVALUATION AND ANAL YSIS OF DRUG-USE IN HOSPITALS OF CHINA
2014年
10期
948-949,950
,共3页
杨云%张兰欣%苗春平%迟平
楊雲%張蘭訢%苗春平%遲平
양운%장란흔%묘춘평%지평
抗菌药物%切口感染%耐甲氧西林金黄色葡萄球菌%医院获得性肺炎%药学服务
抗菌藥物%切口感染%耐甲氧西林金黃色葡萄毬菌%醫院穫得性肺炎%藥學服務
항균약물%절구감염%내갑양서림금황색포도구균%의원획득성폐염%약학복무
Antibiotics%Postoperative infection%Methicillin resistant S. aureus%Hospital-acquired pneumonia%Pharmaceutical care
目的：探讨关节术后感染合并肺炎患者的抗菌药物应用情况及药学服务切入点，为临床合理用药提供参考。方法：针对1例典型病例，通过查阅住院患者病历和医嘱，分析患者的抗菌药物应用情况。结果：该患者存在病原菌培养不及时、用药不对症、用药疗程短、药物滥用、药物更换不妥、用法与用量不当等不合理现象。结论：该患者抗菌药物应用总体上不合理，加强临床抗菌药物合理使用监管力度很有必要。
目的：探討關節術後感染閤併肺炎患者的抗菌藥物應用情況及藥學服務切入點，為臨床閤理用藥提供參攷。方法：針對1例典型病例，通過查閱住院患者病歷和醫囑，分析患者的抗菌藥物應用情況。結果：該患者存在病原菌培養不及時、用藥不對癥、用藥療程短、藥物濫用、藥物更換不妥、用法與用量不噹等不閤理現象。結論：該患者抗菌藥物應用總體上不閤理，加彊臨床抗菌藥物閤理使用鑑管力度很有必要。
목적：탐토관절술후감염합병폐염환자적항균약물응용정황급약학복무절입점，위림상합리용약제공삼고。방법：침대1례전형병례，통과사열주원환자병력화의촉，분석환자적항균약물응용정황。결과：해환자존재병원균배양불급시、용약불대증、용약료정단、약물람용、약물경환불타、용법여용량불당등불합리현상。결론：해환자항균약물응용총체상불합리，가강림상항균약물합리사용감관력도흔유필요。
OBJECTIVE: To analyze and evaluate the antibiotic use in one patient with postoperative infection associated with pneumonia after undergoing operation of joint so as to provide references for rational use of drugs. METHODS:The antibiotic use was analyzed by reviewing patients’ medical records and medical orders. RESULTS:The irrational antibiotic use phenomena including delayed bacterial culture, inconformity between drug use and the symptoms, short medication course, drug abuse, improper change of antibiotics, and improper dosage and administration were noted. CONCLUSIONS:The antibiotic use in the patients was irrational on the whole, thus it is quite necessary to tighten monitoring on the rational use of antibiotics.
