抄録
Pharmacists need to check prescriptions of parenteral lipid emulsions from various aspects due to the many difficulties that occur when administering them. Thus, we performed a questionnaire survey on the usage of and current involvement of pharmacists in administering parenteral lipid emulsions. Pharmaceutical departments of 381 institutions in Osaka Prefecture participated in this survey between June 1 and July 31, 2012. The questionnaire contained items including the characteristics of the hospital, usage of parenteral lipid emulsions, and current prescription-checking by pharmacists. A hundred and twelve institutions (29.4%) responded to the survey; parenteral lipid emulsions were used in 96 institutions. Some institutions appropriately used them but others did not. Additionally, in some institutions, pharmacists did not check the prescriptions for detailed items, such as the dosing rate and administration route. Furthermore, we observed a trend toward more items indicating the inappropriate use of these emulsions and less involvement of pharmacists in institutions without compared to with a nutrition support team (NST). These current situations were considered to largely relate to the number of pharmacists and whether NST therapists (pharmacists) are available. In the future, pharmacists should significantly contribute to nutritional and risk management in in-hospital team medicine.
