我院2013-2014年万古霉素临床应用分析

发布时间：2018-04-12 12:12

本文选题：万古霉素 + 处方分析　；参考：《中国药房》2015年20期

【摘要】：目的:为进一步制定万古霉素合理使用规范提供依据。方法:回顾性分析我院2013年6月-2014年12月经静脉使用万古霉素的正常出院患者的相关信息。结果:178例使用万古霉素的患者,平均年龄59.6岁,男性占73.60%,以肺部感染为主(74.72%)。用药前辅助检查充分,66.29%属经验性治疗用药,病原学送检率达85.39%。71.91%的患者行治疗药物监测,但首次监测血药浓度仅47.66%处于目标范围。结论:万古霉素在我院使用较为合理,但需关注经验性用药疗程、治疗药物监测的合理性以及个体化初始剂量等问题。
[Abstract]:Objective: to provide the basis for the establishment of reasonable use of vancomycin.Methods: the information of normal discharged patients receiving vancomycin from June 2013 to December 2014 was analyzed retrospectively.Results the average age of 178 patients with vancomycin was 59.6 years old. The male was 73.60 and the majority of them were pulmonary infection (74.72%).Before administration, 66.29% of the patients were treated with experiential therapy, 85.39% of the patients were examined by etiology, 71.91% of the patients were monitored for the treatment drugs, but only 47.66% of the patients were in the target range for the first time monitoring of blood drug concentration.Conclusion: the use of vancomycin in our hospital is reasonable, but attention should be paid to the experience course of medication, the rationality of drug monitoring and the individual initial dose.
【作者单位】：广州医科大学附属第一医院药学部;
【分类号】：R969.3

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