Practice of rational use of antibacterial drugs with interdisciplinary linkage
Wu Weibo1, Chen Caiming1, Ruan Yanping2
1 Pharmacy Department, Wenling Hospital Affiliated to Wenzhou Medical University, Taizhou 317500, China;
2 Department of Nosocomial Infection, Zhejiang Cancer Hospital
Abstract：Objective To explore an interdisciplinary cooperation and the linkage of multifunctional departments to jointly promote the management mode of rational clinical use of antibiotics, and to summarize a new method of joint supervision of rational use of antibiotics in general hospitals.Methods We analyze and summarize the past management measures, establish a joint intervention model for the use of antibiotics in hospitals, set up an expert group on the clinical use of antibiotics in hospitals, formulate a management system, implement realtime monitoring of rational drug use software and special comments of clinical pharmacists, incorporate rational drug use into department performance appraisal, regularly organize learning and training, and regularly analyze and track management effectiveness.Results Core quality control indicators of antimicrobial agents were significantly improved. The utilization rate of antimicrobial agents in hospitalized patients decreased from 60.56% to 51.70%, and the proportion of antimicrobial users in outpatients and emergency patients decreased from 22.37% to 8.78%. Conclusion Interdisciplinary linkage and joint management of antimicrobial management model promoted the improvement of core quality control indicators of antimicrobial drugs, improved the rational rate of antimicrobial prescription (doctor′s advice), and improved the clinical efficacy.
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