药剂师应该如何为感染控制活动贡献他们的专业知识?

Nao Onodera
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摘要

感染控制的目的是防止传染病在医院的病人和工作人员中发生和传播,它大大有助于医疗安全和提高护理质量。药剂师在感染控制的多学科倡议中发挥着重要作用。自从2004年4月向传染病控制办公室指派了一名全职药剂师以来,药剂师一直积极参与岩手医科大学医院的感染控制工作。他们参与了诸如基于传播的分区制度、抗菌剂使用的综合处方管理制度和洗手运动等倡议。此外,经委员会认证的感染控制药学专家的任务是强调采取综合措施的重要性,包括正确使用抗菌药物、消毒剂和医疗用品。为了利用他们在感染控制活动中的专业知识,药剂师需要了解感染控制团队和抗菌药物管理团队之间的相互关系,并产生切实的成果。在这方面,药剂师应该把过分强调的从“信息收集和分析”转向制定“计划”。为此,他们应从更广泛的角度观察感染控制,并应根据科学和药物证据提出计划,并有效地开展活动,并进行适当的评估,以取得成功的结果。
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What Should Pharmacists Do to Contribute Their Expertise to Infection Control Activities?
With the aim of preventing infectious disease occurrence and spread among patients and staff in hospitals, infection control greatly contributes to medical safety and the improvement of quality of care. Pharmacists play important roles in multidisciplinary initiatives regarding infection control. Pharmacists have been actively involved in infection control at Iwate Medical University Hospital, since a full-time pharmacist was assigned to the Infectious Disease Control Office in April 2004. They have been involved in initiatives such as the transmission-based zoning system, the comprehensive prescription management system for antibacterial agent use, and handwashing campaigns. In addition, the mission of board-certified infection control pharmacy specialists is to address the importance of taking comprehensive measures, including the proper use of antimicrobial drugs, disinfectants, and medical supplies. To leverage their expertise in infection control activities, pharmacists need to understand the reciprocal relationship between the infection control team and antimicrobial stewardship team and produce tangible outcomes. In this respect, pharmacists should shift their overemphasis from “information gathering and analysis” and to developing “plans.” To do so, they should observe infection control from a wider perspective and should propose plans based on scientific and pharmaceutical evidence and operate the activities efficiently, with proper evaluation, for successful results.
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Status of Infection Prevention Measures for Emergency Medical Technicians and Identification of Fire Department-Specific Issues 療養病床における感染管理体制の実態に関する調査結果 テイコプラニンとタゾバクタム/ピペラシリンの併用投与における腎機能への影響 手術部位感染対策 SARS-CoV-2ワクチン(BNT162b2)接種後の抗体価の経時的推移
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