著者

吉川 博 佐藤 智人 檜山 洋子 福島 隆宏 佐伯 康之 畝井 浩子 松尾 裕彰

出版者

一般社団法人 日本臨床救急医学会

雑誌

日本臨床救急医学会雑誌 (ISSN:13450581)

巻号頁・発行日

vol.23, no.5, pp.691-695, 2020-10-31 (Released:2020-10-31)

参考文献数

10

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救急・集中治療領域の患者は重症度が高く,過少投与や必要薬剤の不使用など,薬物治療効果が適正に得られない状態は不利益となる可能性がある。そのため薬物治療効果を最大限に得るための適正使用(以下,適正使用)は重要である。本調査は2016年1月〜2017年12月にICU,高度救命救急センター,HCUでの薬剤師による適正使用介入事例を調査した。 対象期間での適正使用介入事例は227件。薬剤の種別として抗微生物薬が117件(51%),抗凝固薬23件(10%),消化器系薬14件(6%),循環器系薬11件(5%)であった。介入の種類として投与量の増量が105件(46%),薬剤追加が59件(26%),投与方法変更が30件(13%),薬剤変更が20 件(9%)であった。薬剤師は適正使用において,とくに抗微生物薬の増量,排便・血糖コントロールやDVT などの予防薬剤の追加について貢献していると考えられた。

著者

冨田 隆志 佐伯 康之 鴫田 江理嘉 河田 麻美 木村 康浩 木平 健治

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.129, no.4, pp.451-457, 2009 (Released:2009-04-01)

参考文献数

16

被引用文献数

1 1 1

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We conducted a survey on the immunization requirements of the students in the fourth year of the 4-year-course departments of pharmacy in Japan by using a self-administered questionnaire, which was mailed to the directors of the institutes. Of the 61 departments invited, 54 responded. Program of seroprevalence examination or vaccination was not in place against measles, rubella, mumps and varicella, and hepatitis B in 31.5% (17/54), 53.7% (29/54), 57.4% (31/54), and 68.5% (37/54), respectively. Surveillance of the history of infection and vaccination was carried out in 21 departments, but only 5 departments insisted on documented evidence of immunity. Students who were proven to be susceptible to these diseases were required to receive immunization in most departments that performed seroprevalence examination. Seroprevalence examination was carried out in colleges in 83.3% (25/30), and the expenses were born by department in 70.0% (21/30). On the other hand, vaccination was carried out in colleges in 30.0% (9/30), and the expenses were born by department in 6.7% (2/30). Of the 54 departments, 29, 11, and 3 departments executed these programs in the 3rd year, 4th year, and at the time of admission, respectively. Influenza vaccination during the year of clinical clerkship and tuberculosis skin test was required in 20.4% (11/54) and 37.0% (20/54), respectively; these were carried out in the colleges in 8 and 19 departments and the expenses were born by department in 1 and 18 departments, respectively. Countermeasures against these infectious diseases were found to be insufficient in most departments of pharmacy.