某院呼吸内科住院患者抗真菌药物使用情况调查

发布时间：2018-04-17 13:37

本文选题：呼吸内科 + 抗真菌药　；参考：《中国抗生素杂志》2017年07期

【摘要】：目的调查某院呼吸内科住院患者抗真菌药物使用情况,并对抗真菌药的临床使用作出评价。方法采用回顾性调查方法,调查2015年9月1日—12月31日出院的使用过抗真菌药物的呼吸内科患者的病历,以《肺真菌病诊断和治疗专家共识》、《侵袭性肺部真菌感染的诊断标准与治疗原则(草案)》、国家抗微生物治疗指南和药品说明书为主要评价标准,对抗真菌药物的临床使用合理性进行评价。结果在收集的136例病历中,用药不合理的病历占60例,其中包括无指征用药32例,品种选用不当34例,首次给药剂量未负荷34例。结论抗真菌药物不合理应用情况常见,主要表现在无指征用药、品种选择不当以及用法存在错误等方面,抗真菌药物使用的管理和培训有待加强。
[Abstract]:Objective to investigate the use of antifungal drugs and evaluate the clinical use of antifungal drugs.Methods retrospective investigation was conducted to investigate the medical records of respiratory patients who had been discharged from hospital from September 1 to December 31, 2015, who had been treated with antifungal drugs."the common understanding of experts in the diagnosis and treatment of pulmonary mycosis", "criteria for the diagnosis and treatment of invasive pulmonary fungal infections (draft)", national guidelines for antimicrobial treatment and drug instructions as the main evaluation criteria,To evaluate the rationality of clinical use of antifungal drugs.Results among 136 cases of medical records, 60 cases had unreasonable use of drugs, including 32 cases without indication, 34 cases with improper selection of drugs and 34 cases with no load of the first dose.Conclusion the irrational use of antifungal drugs is common, mainly in the aspects of lack of indication, improper selection of varieties and wrong use of antifungal drugs. The management and training of antifungal use need to be strengthened.
【作者单位】：福建医科大学附属协和医院药学部;
【基金】：福建省卫计委中青年骨干人才培养项目(No.2014-ZQN-JC-15)
【分类号】：R978.5

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