| 李春红,王敏,单爱云,等.18例基层中医院万古霉素临床应用的合理性探讨[J].安徽医药,2017,21(8):1533-1541. |
| 18例基层中医院万古霉素临床应用的合理性探讨 |
| Discussion of rationality of the 18 cases treated with vancomycin in primary-level TCM hospital |
| 投稿时间：2017-01-04 |
| DOI： |
| 中文关键词: 基层中医院 万古霉素 回顾性 合理性探讨 |
| 英文关键词: Primary-level TCM hospital Vancomycin Retrospectively Rationality discussion |
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| 中文摘要: |
| 目的 了解该院万古霉素临床应用情况,为促进其安全合理使用提供思路和依据。方法 选取2014年10月—2016年9月使用万古霉素的病历共18份,对微生物送检、联合用药、万古霉素临床使用等情况进行统计汇总,并依据相关指南回顾性探讨其临床应用的合理性。结果 18份万古霉素病历微生物送检率94.44%,目标性治疗率38.89%,联合用药使用率66.67%,用药不适宜共12例次,其中用药剂量偏小、疗程偏短、联合用药品种不适宜为主要问题。结论 该院万古霉素在合理与规范使用方面尚存在问题,有待进一步培训沟通,以保障病人用药安全。 |
| 英文摘要: |
| Objective To investigate the utilization of vancomycin in our hospital and provide references for its safety and rational use. Methods Medical records of 18 inpatients treated with vancomycin from Oct.2014 to Sep.2016 in our hospital were collected.The microbial test sample submission,drug combination and the utilization of vancomycin were investigated.The medication rationality of vancomycin was analyzed retrospectively according to the relevant guidelines. Results Microbial test sample submission rate was 94.44% in the 18 records,targeted cure rate was 38.89% and drug combination rate was 66.67%.There were 12 cases of irrational use of vancomycin,among which the not enough dosage,medication course and the inappropriate kinds of combination drugs were the main problems. Conclusion There is still a problem in reasonable and standardized use of vancomycin in the hospital and it is necessary to further training and communication to protect the safety of patients with medication. |
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