临床药师根据的药敏试验结果选用抗菌药物分析.pdf

·医院药学· 临床药师根据药敏试验结果选用抗菌药物分析 张骞峰，孙增先 (连云港市第一人民医院，江苏 连云港 222002) 摘要：目的 了解临床药师根据药敏试验结果选用抗菌药物的情况。方法 采用回顾性调查的方法，记录临床药师根据药 敏试验结果进行抗菌药物选择的内容，从药师参与治疗的科室、病原菌种类、选择的药物、建议的意义性等内容进行分析。 结果 临床药师根据药敏试验结果进行抗菌药物选择时，较多见耐药情况复杂的耐药菌，药师的建议分为四类，且有 74.19% 的药师建议被认为有指导意义。结论 在根据药敏试验结果选择药物时，临床药师的建议能够为临床提供有益的帮助。 关键词：临床药师；药敏试验；抗菌药物选择 中图分类号：R969.3 文献标志码：B 文章编号：1007-7693(2009)08-0678-03 Analysis Clinical Pharmacist Selected Based on Antimicrobial Susceptibility Test Results of Drug ZHANG Qianfeng, SUN Zengxian(The First Hospital of Lianyungang, Lianyungang 222002, China) ABSTRACT: OBJECTIVE To investigate the clinical pharmacists according to antimicrobial susceptibility test results of selected drugs. METHODS A retrospective survey methods, clinical pharmacists recorded the results of sensitivity test in accordance with antimicrobial agents to choose the content, from the pharmacists involved in the treatment of the sections, the types of pathogens, selected drugs, and the significance of the proposed content for analysis. RESULTS Clinical pharmacists according to antimicrobial susceptibility test results of drug options, more drug resistant complex bacteria, the recommendations of pharmacists divided into four categories, and the 74.19% clinical pharmacists recommendations were considered to have the guidance significance. CONCLUSION In accordance with choice of drug sensitivity tests, the clinical pharmacists recommendations can provide a useful for clinical help. KEY WORDS: clinical pharmacist; antibacterial sensitivity test; antibacterial agents choice 药敏试验是临床进行抗菌药物合理应用的重 回顾性调查，制作调查表，记录患者姓名、病 要参考指标之一，但如何正确利用药敏试验，这需 区、病历号、床号、年龄、性别、所患疾病、标本 要临床药师综合分析药敏报告，如重视抗菌药物的 来源、药敏结果、临床药师选择建议及接受建议后 药代学和药效学[1]、强调多学科的合作[2]等。笔者