Abstract
We conducted a practical survey on TDM at the dispensaries in 46 National Hospital and Sanatoriums in the Kyushu district. The following results were obtained:
a) Twenty-one dispensaries (46%) measured the drug concentration in blood. The actual measurement was conducted in the dispensary.
b) Fourteen dispensaries (30%) performed the measurement outside of the dispensary.
c) Eleven dispensaries (24%) did not perform the measurement.
d) Twelve dispensaries (48%) out of the 25 in which the measurement was not done had a plan of conducting the measurements in the near futre.
e) Nine dispensaries (36%) did not intend to any future plans to do so.
f) Four dispensaries (16%) remained unknown.
The conditions of those dispensaries with a lower ratio of measurement-taking were as follows: less than 300 beds or less than 2 pharmacists.
The following number of dispensaries intended to study TDM: 29 (63%) of the total number of dispensaries, and 19 (66%) of those dispensaries in which the measurement was not currently performed.
The results of a questionnaire from the 21 dispensaries in which measurement was performed on-site were as follows: 20 dispensaries (96%) had a form for comments, 9 (43%) dispensaries participated in a suitable plan of administration in accordance with drug concentration in blood. Eight (38%) dispensaries selected a few patients for comments. In 7 (33%) medical facilities, doctors selected a few patients for comments. Six (29%) dispispensaries had comments on all patients. Eighteen (86%) dispensaries had a concrete counter-measure for infection.
The dispensaries in a considerable number of medical facilities intended to measure the drug concentration in blood, and to study TDM and its practice, and 9 dispensaries had already participated in the administration plan which will bring future development to TDM.
