中国药房2024，Vol.35Issue(1)：95-100,6.DOI:10.6039/j.issn.1001-0408.2024.01.17
县域医共体以抗感染临床药师为主体的抗菌药物使用管理模式应用及评价
Application and evaluation of management mode for the use of antimicrobial drugs in county-level medical communities led by anti-infective clinical pharmacists
摘要
Abstract
OBJECTIVE To provide reference for improving the rational use of antimicrobial drugs in primary township medical institutions.METHODS Based on the county prescription pre-review center,a team led by anti-infective clinical pharmacists constructed the management mode for the use of antimicrobial drugs in county-level medical communities with clinical pharmacists as the main team by finding out the main problems in the use of antimicrobial drugs in primary township medical institutions,providing feedback on the problems,organizing relevant training for the problems,improving the customization rules of the prescription pre-review software,implementing the automatic interception and pharmacist online prescription review and other measures.Data on the use of antimicrobial drugs were collected and compared in the 15 primary township medical institutions between January-June in 2022(before the implementation of the mode)and January-June in 2023(after the implementation of the mode).RESULTS Compared with before the implementation of the mode,the utilization rate of antimicrobial drugs in outpatients of primary township medical institutions decreased from 24.97%before the implementation of the mode to 19.39%after the implementation of the mode;the utilization rate of antimicrobial injection in outpatients decreased from 66.10%to 46.80%;the utilization rate of intravenous drip of antimicrobial drugs in outpatients decreased from 52.33%to 40.35%;the rates of combined use of antimicrobial drugs in outpatients decreased from 12.70%to 8.19%;the reasonable rate of antimicrobial prescribing in outpatients increased from 55.28%to 73.93%.After the implementation of the mode,the proportion of antimicrobial prescriptions for each diagnosis was basically the same as before;the defined daily dose system(DDDs)and proportion of a few antimicrobial drugs changed compared with before according to the anatomical therapeutic chemical classification of drugs,among which DDDs of lincomycin,gentamicin and other drugs declined significantly;DDDs of antimicrobial drugs for each classification was basically the same as before according to AWaRe classification.CONCLUSIONS The management mode of the use of antimicrobial drugs led by anti-infective clinical pharmacists is constructed in the prescription pre-reviewing center of county-level medical communities,which can effectively improve the rational use of antimicrobial drugs in the primary township medical institutions.关键词
县域医共体/抗菌药物/乡镇医疗机构/临床药师/合理用药Key words
county-level medical community/antimicrobial drugs/primary township medical institutions/clinical pharmacists/rational drug use分类
医药卫生引用本文复制引用
邓晓琴,赵池,李召红,阎鸿焰,沈东芳,谭何浪,姜明仲,邓南骏..县域医共体以抗感染临床药师为主体的抗菌药物使用管理模式应用及评价[J].中国药房,2024,35(1):95-100,6.基金项目
重庆市科卫联合医学科研项目(No.2022MSXM126) （No.2022MSXM126）
