引入药剂师主导的支持系统对万科米辛加重剂量和度-时间曲线下的0-24小时区域的施用速度的影响
Tatsuya Tai1,2, Takahiro Motoki1,2, Masahiro Watanabe3
1Department of Infection Control Service Office, Kagawa University Hospital, Kagawa, Japan.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|October 23, 2025
概括
一个由药剂师领导的支持系统显著改善了入院患者的万科米辛 (VCM) 负载剂量管理和暴露 (AUC0-24). 这种干预增强了VCM剂量,但没有增加急性损伤 (AKI) 或死亡风险.
科学领域:
- 药理学和治疗学 药理学和治疗学
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 范科米辛 (VCM) 剂量优化对于有效治疗和最大限度地减少毒性至关重要.
- 目前关于优化VCM加载剂量的证据仍然有限.
- 药剂师参与药物管理可以改善患者的治疗结果.
研究的目的:
- 评估药剂师主导的支持系统对万科米辛 (VCM) 加重剂量管理的影响.
- 评估支持系统对度-时间曲线下的0-24小时区域的影响 (AUC0-24).
- 确定对急性损伤 (AKI) 发生率和全因死亡率的影响.
主要方法:
- 具有中断时间序列分析的回顾性研究 (2021年1月 - 2024年5月).
- 干预:药剂师主导的未来处方审查和对VCM充满剂量的直接干预.
- 评估了接受VCM的326名住院患者.
主要成果:
- 在干预后,VCM加载剂量给药率显著增加了43.2%.
- 平均AUC0-24显著从241.0增加到307.0.0.
- 没有观察到AKI发病率或90天死亡率的显著差异.
结论:
- 药剂师领导的支持系统有效地改善了VCM加载剂量管理和AUC0-24.
- 该干预措施显示了立即和持续的改善,而没有增加不良事件.
- 这种系统推给那些希望优化万科米辛剂量策略的机构使用.
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