75份静脉滴注抗感染药物说明书使用事项标注情况调查与建议
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摘要
目的调查静脉滴注抗感染药物说明书使用事项标注情况,为合理使用及规范管理提供参考。方法收集某院静脉滴注抗感染药物说明书,对说明书中涉及溶媒选择、配制过程、输注速度(时间)、配制液保存、冲管、试敏是否标注完整进行统计,调查目前静脉滴注抗感染药物说明书中使用事项标注情况及存在问题。结果 75份静脉滴注抗感染药物说明书中,溶媒选择标注60份(95.24%)、配制过程58份(92.06%)、配制液保存标注27份(42.86%)、输注速度(时间)标注47份(62.67%)、冲管标注6份(8.00%)、试敏15份(48.39%)。结论 75份静脉滴注抗感染药物说明书,关于配制液保存、输注速度(时间)、给药疗程、冲管、试敏标注项目缺失严重,应加强说明书的修订与审核,对其说明书使用事项项目进行规范性标注。
Obje ctive To investigate the instructions of intravenous infusion anti-infective drugs so as to provide reference for reasonable use and standard management. Me thods Collecting instructions of intravenous infusion anti-infective drugs in a hospital and then analyzing the labeling information including the media selection, preparation process, infusion rate(time), preparation liquid preservation, flushing and sensitive test, at last the labeling information and existing problems in the instructions of intravenous infusion anti-infective drugs were investigated. Re s ults Of the 75 instructions for intravenous infusion anti-infective drugs, 60 were labeled with the solvent selection(95.24%),58 were labeled with the preparation process(92.06%), 27 were labeled with the preparation(42.86%), 47 were labeled with infusion rate(time)(62.67%), 6 were labeled with flushing(8.00%) and 15 were labeled with sensitive test(48.39%).Conclus ion The labeling of infusion rate(time), preparation solution preservation, administration course, flushing and sensitive test are seriously insufficient in 75 instructions for intravenous infusion anti-infective drugs. The revision and check of the instructions should be strengthened to standardize the instruction management.
Obje ctive To investigate the instructions of intravenous infusion anti-infective drugs so as to provide reference for reasonable use and standard management. Me thods Collecting instructions of intravenous infusion anti-infective drugs in a hospital and then analyzing the labeling information including the media selection, preparation process, infusion rate(time), preparation liquid preservation, flushing and sensitive test, at last the labeling information and existing problems in the instructions of intravenous infusion anti-infective drugs were investigated. Re s ults Of the 75 instructions for intravenous infusion anti-infective drugs, 60 were labeled with the solvent selection(95.24%),58 were labeled with the preparation process(92.06%), 27 were labeled with the preparation(42.86%), 47 were labeled with infusion rate(time)(62.67%), 6 were labeled with flushing(8.00%) and 15 were labeled with sensitive test(48.39%).Conclus ion The labeling of infusion rate(time), preparation solution preservation, administration course, flushing and sensitive test are seriously insufficient in 75 instructions for intravenous infusion anti-infective drugs. The revision and check of the instructions should be strengthened to standardize the instruction management.
引文
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[8]刘雅娟,曹译丹,刘鑫. 2015-2016年吉林大学第一医院儿科急诊清热解毒类中药注射液使用情况分析及合理性评价[J].中国药事, 2018, 32(2):260-266.
[9] Richter A G,Nasser S M,Krishna M T. A UK national survey of investigations for beta-lactam hypersensitivity. Clinical and experimental allergy[J]. J Brit Soc Allergy Clin Immunol, 2013, 43(8):941-949.
[10]王艳丽.我院40组注射剂药品说明书调查分析[J].中国药物警戒,2018,15(3):147-151.
[11]国家食品药品监督管理局.药品不良反应报告和监测管理办法[S]. 2011-05-04.
[12]夏东胜.近8年我国药品监督管理部门发文修订药品说明书情况及趋势[J].中国药房, 2014, 25(41):3853-3856.
[2]国家食品药品监督管理局.药品说明书和标签管理规定[S].2006-03-15.
[3]国家食品药品监督管理局.关于印发《化学药品和生物制品说明书规范细则》的通知[S]. 2006-05-10.
[4]张彩霞.抗菌素药物临床应用与pH值的关系[J].医学理论与实践,2004,17(2):230-231.
[5]普琼惠. 25份静脉输注抗菌药物药品说明书的分析[J].药学实践杂志,2009, 27(2):148-149.
[6]马艳丽.静脉输液速度与药物不良反应的关系[J].中国现代药物应用,2011, 5(17):119.
[7]雍小兰,谭永红,张勤,等.输注速度在输液疗法中的重要性[J].中国医院药学杂志,2001,21(11):702.
[8]刘雅娟,曹译丹,刘鑫. 2015-2016年吉林大学第一医院儿科急诊清热解毒类中药注射液使用情况分析及合理性评价[J].中国药事, 2018, 32(2):260-266.
[9] Richter A G,Nasser S M,Krishna M T. A UK national survey of investigations for beta-lactam hypersensitivity. Clinical and experimental allergy[J]. J Brit Soc Allergy Clin Immunol, 2013, 43(8):941-949.
[10]王艳丽.我院40组注射剂药品说明书调查分析[J].中国药物警戒,2018,15(3):147-151.
[11]国家食品药品监督管理局.药品不良反应报告和监测管理办法[S]. 2011-05-04.
[12]夏东胜.近8年我国药品监督管理部门发文修订药品说明书情况及趋势[J].中国药房, 2014, 25(41):3853-3856.