摘要
Abstract
AIM To analyze the medical records of clinical pharmacists'involvement in infectious disease consultations,and to explore the role of clinical pharmacists in clinical antimicrobial therapy.METHODS A retrospective review of medical records from January to December 2023,where various departments requested pharmaceutical consultations for patients with infectious diseases.The medical records of pharmaceutical consultations for patients with infectious diseases,requested from various hospital departments between January and December 2023,were reviewed.Descriptive analyses were performed on demographic data,such as age and gender,clinical data including the originating department,infection diagnosis,results of microbiological tests and clinical outcomes as well as consultation-related content,including the purpose of consultation and the adoption status of clinical pharmacist's recommendations.Patients were then grouped based on whether the clinical pharmacist's suggestions were adopted,and the clinical outcomes between 2 groups were compared.RESULTS Clinical pharmacists participated in a total of 283 consultations involving 269 patients with infectious diseases in 2023.The consultation covered 12 departments,with a department coverage rate of 54.55％.The purpose of the consultation was mainly to select antibiotics for treatment.Pulmonary infection was the most commonly diagnosed infection,followed by urinary tract infection,abdominal infection,skin and soft tissue infection,intracranial infection,etc.The number of positive etiological culture results was 204(72.08％).A total of 275 pathogens were detected,of which 209 were Gram-negative bacilli(76.00％).Consultation suggestions were adopted 264 times,accounting for 93.29％of the total consultations.The treatment efficacy rate was significantly higher in the group where consultation suggestions were adopted compared to the group where they were not(88.25％vs 36.84％,P＜0.01).CONCLUSION The participation of clinical pharmacists in pharmacy consultation for patients with infectious diseases has played an important role in treating infectious diseases,and relevant work should be continued to further promote the rational use of antibiotics.关键词
临床药师/感染性疾病/药学会诊/合理用药Key words
clinical pharmacist/infectious diseases/pharmaceutical consultation/rational drug use
