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引用本文:刘子昀,刘冬,张晓钰,张晋,姜凤丽,乌伊萍.骨科患者万古霉素使用的专项点评[J].中国现代应用药学,2015,32(3):344-347.
LIU Ziyun,LIU Dong,ZHANG Xiaoyu,ZHANG Jin,JIANG Fengli,WU Yiping.Special Evaluation about the Use of Vancomycin in the Orthopedics Department[J].Chin J Mod Appl Pharm(中国现代应用药学),2015,32(3):344-347.
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骨科患者万古霉素使用的专项点评
刘子昀, 刘冬, 张晓钰, 张晋, 姜凤丽, 乌伊萍
陕西省宝鸡市中心医院临床药学室,陕西 宝鸡 721008
摘要:
目的 通过骨科万古霉素使用情况的专项点评,促进其合理使用。方法 调取本院骨科2011—2013年使用万古霉素的病历,对其适应症、用法用量、疗程、序贯治疗、病原学检查5个方面进行合理性点评。结果 本院骨科不存在滥用万古霉素,重视病原学检查。但存在选药或疗程不合理、药液稀释浓度高以及医师对病原学检查认识不全面等现象。结论 开展万古霉素的专项点评,及时干预使用过程中存在的问题,从而促进其合理使用。
关键词:  万古霉素  专项点评  骨科  住院患者
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基金项目:陕西省卫生厅卫生科研基金项目(2010H42)
Special Evaluation about the Use of Vancomycin in the Orthopedics Department
LIU Ziyun, LIU Dong, ZHANG Xiaoyu, ZHANG Jin, JIANG Fengli, WU Yiping
Department of Clinical Pharmacology, Baoji Central Hospital, Baoji 721008, China
Abstract:
OBJECTIVE To perform the special prescription evaluation about the use of vancomycin in orthopedics department, to promote its rational clinical application. METHODS Obtaining the medical records of orthopaedic inpatients with vancomycin from 2011 to 2013, and evaluating of the rationality in the five following aspects: indication of vancomycin,usage and dosage, treatment course, curative effect and etiology examination. RESULTS There was no abuse of vancomycin in orthopedics department, physicians value the etiology examination. But individual records existed that drug choice or treatment course was not reasonable and solution diluted concentration was too high, physicians acquainted incompletely themself with etiology examination, and so on. CONCLUSION Carrying out the special prescription evaluation, the pattern benefits correcting existing problems in clinical use, and standardizes the rational use of drug.
Key words:  vancomycin  special prescription evaluation  orthopedics  inpatients
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