TWI729911B - Antibiotic selection notification system and medical management system including the notification system - Google Patents

Abstract

An antibiotic selection notification system and medical management system including the notification system are provided to solve the problem where a physician did not adjust an antibiotic for a patient when received the patient’s test report in the first time. The notification system includes a database unit for recording a name of a germ, at least one antibiotic and a rank of the at least one antibiotic. The at least one antibiotic is as likely to be appropriate for treatment the germ. And a processor unit for obtaining an alternative antibiotic from the database unit whose a rank of the alternative antibiotic is lower than the antibiotic when receipts a final report. The processor unit sends a name of the alternative antibiotic to the physician’s contact device via a wireless transmission unit for the physician to replace the antibiotic with the alternative antibiotic.

Description

Antibiotic selection notification system and medical management system with the system

The present invention relates to a notification system, in particular, an antibiotic selection notification system that immediately informs a physician to evaluate and adjust the antibiotics used by the patient when a patient's test report is received, and a medical management system with the system.

By the way, before the patient’s specimen report is released, the physician usually considers the patient’s various subjective and objective conditions, and selects the appropriate antibiotics for the patient based on his own experience. The specimen report is sent to the physician, so that the physician can evaluate whether the patient’s current antibiotics are appropriate or need to be adjusted based on the specimen report.

However, the doctor may not be able to view the specimen report in the first time due to factors such as heavy clinical work, handling of emergencies, or the time when the specimen report is issued is not during regular working hours, which may cause delays in the inspection of the specimen report. The patient's antibiotics are adjusted to the type of antibiotics suitable for the patient's condition. According to a study published by Liu VX and other scholars in 2017, for every hour of delay in the use of appropriate antibiotics, the death rate of patients suffering from bacteremia will increase by 9%. Therefore, when the patient's original antibiotics are not appropriate, and The slower it is to adjust the antibiotics used to the appropriate antibiotics, it will affect the safety of patients.

In addition, inappropriate use of antibiotics can sometimes induce the production of drug-resistant bacteria. For example, use antibiotics with a narrow antimicrobial spectrum (low-level) to treat diseases, but use antimicrobial spectrum. A wide range of antibiotics (high-level) for treatment. However, when the doctor receives the test report, he may be unwilling to take the initiative to downgrade the current antibiotics because the original antibiotics used by the patient have already obtained preliminary effects, or the physician may be unfamiliar with the tests mentioned in the test report. Factors such as pathogenic bacteria (such as bacteria or molds), the antibacterial spectrum of various antibiotics, etc., cannot make the judgment of the adjustment of antibiotics, which makes the patient continue to use the antibiotics originally used, resulting in the production of resistant bacteria.

In view of this, it is necessary to provide an antibiotic selection notification system to improve the above problems.

In order to solve the above-mentioned problems, the purpose of the present invention is to provide an antibiotic selection notification system, which can make immediate interpretation when receiving the patient's test report, and notify the physician of other types of antibiotics that can replace the original antibiotics used by the patient when necessary.

The second objective of the present invention is to provide an antibiotic selection notification system, which can interpret the test report in real time, and remind the doctor to pay attention when the interpretation result believes that the antibiotic originally used by the patient is invalid or not effective.

Another object of the present invention is to provide a medical management system that can integrate the aforementioned antibiotic selection notification system with the existing hospital information system and laboratory information system.

The "Database Unit" mentioned in the full text of the present invention refers to the collection and storage of a group of related electronic data in hard disk, memory or a combination of the above, and can be provided by a database management system (DBSMS) The grammatical functions of, such as adding, reading, searching, updating and deleting, etc., carry out related processing of electronic data; the database management system can manage electronic data through different data structure methods, such as relational, hierarchical, Mesh type or object-oriented type, etc. The present invention is described below by taking a relational database management system as an example, but it is not intended to limit the present invention.

The "Storage Unit" mentioned in the full text of the present invention refers to any An electronic device with electronic data storage function. The electronic device can be a volatile memory (volatile memory) or a non-volatile memory (non-volatile memory). For example, the volatile memory can be SRAM or DRAM; the non-volatile memory can be read-only memory, flash memory, or hard disk. Those with ordinary knowledge in the art can rely on computing performance, price, and volume. Restrictions or functional requirements, etc. to be selected.

The "User Interface Unit" mentioned in the full text of the present invention refers to any interface that provides input/output devices for establishing contact and exchanging messages between a user and a computer system. For example, but without limitation, the The input device of the human-machine interface can be a keyboard or a mouse, and the output device of the human-machine interface can be a display or a printer.

The "Processor Unit" mentioned in the full text of the present invention refers to any electronic chip with the functions of data storage, calculation and signal generation, or electronic equipment with the electronic chip. For example, the electronic chip can be a central processing unit (CPU), a microcontroller (MCU), a digital signal processor (DSP), a field programmable logic gate array (FPGA), or a system-on-chip (SoC); the The electronic device can be a programmable logic controller (PLC) or an Arduino UNO. Those with ordinary knowledge in the field can choose the one based on computing performance, price, size limitation, or functional requirements.

The "Cloud Server" mentioned in the full text of the present invention is created by using virtualization software to divide a physical (bare metal) server into several virtual servers for application execution and information processing and storage; Users can remotely access the functions of these virtual servers through an online interface.

The "staining report" mentioned in the full text of the present invention means that the medical examiner puts the culture bottle of the patient's blood into the incubator. The incubator has the function of automatically monitoring the growth of microorganisms in the culture bottle. When the incubator detects If microorganisms grow out of the culture flask, the warning light of the incubator will light up, and the medical examiner will extract a small amount of content from the culture flask for staining, such as Gram stain (Gram stain), and issue a report on the observed staining pattern. The report can include the type and color of bacteria such as cocci and bacillus.

The "preliminary report" mentioned in the full text of the present invention means that when there are pathogenic microorganisms in the above-mentioned culture bottle, the medical examiner extracts a certain amount of microorganisms from the culture bottle for secondary culture, and then extracts the microorganisms after the culture medium grows. A small number of samples are quickly identified to identify the full name of the microorganism, but does not include the report of the results of the antibiotic susceptibility test.

The "final report" mentioned in the full text of the present invention refers to the extraction of microorganisms grown from the above-mentioned culture medium, and the use of automated instruments such as Vitek2 to identify the full name of the microorganism, and to conduct antibiotic susceptibility tests on the microorganism to Obtain a complete report on which antibiotics the microorganism is effective against and which antibiotics are ineffective.

The "inappropriate" mentioned in the full text of the present invention means that an antibiotic is considered to have a high therapeutic effect on a bacterial species after judging the current inspection report based on past literature, local epidemiological data, and expert experience The probability is poor or ineffective.

The “probably appropriate” mentioned in the full text of the present invention means that based on past literature, local epidemiological data, and expert experience, after judging the current inspection report, it is considered that the therapeutic effect of an antibiotic on a bacterial species cannot be shown to be Inappropriate.

The "uncertain" mentioned in the full text of the present invention means that it is impossible to determine whether the strain is pathogenic after judging the current inspection report based on past literature, local epidemiological data, and expert experience, or It cannot be determined that the therapeutic effect of an antibiotic on a bacterial species is inappropriate or possibly appropriate.

The elements and components described in the full text of the present invention use the quantifiers "one" or "one" for convenience and to provide the general meaning of the scope of the present invention; in the present invention, it should be construed as including one or at least one, and single The concept of also includes the plural, unless it clearly implies other meanings.

The antibiotic selection notification system of the present invention includes: a database unit for storing a staining correspondence table, a preliminary correspondence table, and a plurality of hierarchical correspondence tables. The staining correspondence table is used to record a plurality of pathogen types and relative At least one antibiotic name in each pathogen type, and the appropriateness of the antibiotic name of the antibiotic name is inappropriate, the preliminary correspondence table is used to record the names of several bacterial species, and the names of several antibiotics relative to each of the bacterial species names , And the suitability of the antibiotics of each antibiotic name for the treatment of a pathogen of the bacteria name, each of the hierarchical correspondence tables is used to record a pathogen name, a specimen type, and at least one antibiotic relative to the pathogen name Name, and the appropriateness of the antibiotic of the antibiotic name is possibly appropriate, and the antibiotic level of the antibiotic of the at least one antibiotic name; a human-computer interface unit for inputting and displaying a patient’s prescription, a staining report, and a preliminary A report and a final report, the drug order has an antibiotic drug name of the antibiotic being used by the patient, and the final report has the final name of the same disease species; a wireless transmission unit for transmitting electronic signals; and a processing unit, electrical Connecting the database unit, the human-machine interface unit and the wireless transmission unit, the processing unit receives the staining report to obtain a consistent pathogen pattern, the processing unit confirms whether the staining correspondence table contains the pathogen Matching the type and the name of the antibiotic, if the confirmation result is yes, a warning signal will be sent to a bichromium device to remind the doctor to adjust the antibiotic used by the patient, and to check the information recorded in the drug order The antibiotic name is modified, the processing unit receives the preliminary report to obtain a consistent initial name of the pathogenic species, the processing unit compares the preliminary corresponding table with whether the initial name of the pathogenic bacterial species and the antibiotic drug name exist, and The antibiotic of the antibiotic drug name is inappropriate for the treatment of a pathogen with the initial name of the pathogenic species. If the result of the comparison is yes, another warning signal will be sent to the bichromium device for Remind the physician and modify the name of the antibiotic recorded in the drug order. When the processing unit receives the final report, it will respond based on the final name of the pathogenic bacteria and an antibiotic susceptibility report in the final report. An antibiotic name is obtained in the table, and the antibiotic of the antibiotic name is probably appropriate for treating a pathogenic bacteria of the final name of the pathogenic bacteria. The processing unit is determined by the level A substitute antibiotic with an antibiotic grade lower than the antibiotic name should be obtained from the table, and the processing unit sends a notification signal containing the antibiotic name of the at least one substitute antibiotic to the bichromium device for the physician to evaluate whether to use the patient The antibiotic in it is adjusted to the replacement antibiotic.

The medical management system of the present invention includes: the aforementioned antibiotic selection notification system; a cloud server coupled to the wireless transmission unit; a medical order system coupled to the cloud server, and the medical order system is used to generate the patient's medicine order, And send the drug order to the man-machine interface unit; and an inspection system, coupled to the cloud server, the inspection system is used to generate the dyeing report, the preliminary report and the final report, and the dyeing report, the The preliminary report and the final report are sent to the man-machine interface unit.

Accordingly, the antibiotic selection notification system and the medical management system with the system of the present invention can determine that the antibiotic used by the patient is appropriate when the human-machine interface unit receives the patient’s final report, and by Integrate the dyeing correspondence table, the preliminary correspondence table, and the graded correspondence table to obtain an alternative antibiotic with an antibiotic grade lower than the antibiotic and possibly an appropriate effect, and the processing unit sends the name of the alternative antibiotic according to the wireless transmission unit To the doctor's bichromium device for the doctor to adjust the antibiotic used by the patient to the substitute antibiotic. In this way, the present invention can immediately notify the doctor that the treatment effect of antibiotics in the patient under care is inappropriate, shorten the time difference between the patient’s test report and the doctor’s adjustment of medication, and reduce the chance of inducing pathogenic bacteria to produce resistant bacteria. , And improve the quality of medical care and other functions.

Wherein, the processing unit can display the medical order, the dyeing report, the preliminary report, and the final report on the human-machine interface unit with a user interface, and the user interface can have at least one recording status of the patient In the data field, the inspection state can be divided into a normal state and an abnormal state. The processing unit can check whether the inspection state recorded in each data field is the abnormal state. If the inspection result is yes, then the processing The unit can mark the data field recorded as the abnormal state. In this way, it is possible to provide medical staff to view with the human-machine interface unit Whether the inspection status marked on the user interface has the function of an abnormal warning notification.

Wherein, the processing unit automatically judges whether the inspection state is changed from the abnormal state to the normal state, and if the judgment result is yes, the processing unit automatically cancels the labeling of the data field recorded as the abnormal state. In this way, it has the effect of reducing the workload of medical staff.

〔this invention〕

1: Database unit

2: Human-machine interface unit

3: Wireless transmission unit

4: processing unit

S1: Antibiotic selection notification system

S2 Medical Order System

S3: Inspection system

C: Cloud server

M: computer host

UI: User interface

[Figure 1] A system block diagram of a preferred embodiment of the antibiotic selection notification system of the present invention.

[Figure 2] A system architecture diagram of a preferred embodiment of the medical management system of the present invention.

In order to make the above and other objects, features and advantages of the present invention more comprehensible, the preferred embodiments of the present invention will be described in detail in conjunction with the accompanying drawings as follows: Please refer to Figure 1. It is a preferred embodiment of the antibiotic selection notification system S1 of the present invention, which can be applied to a computer host. The system includes a database unit 1, a human-machine interface unit 2, a wireless transmission unit 3, and a processing unit 4 , The database unit 1, the man-machine interface unit 2, and the wireless transmission unit 3 are electrically connected to the processing unit 4.

Please also refer to Figure 1. The database unit 1 can be a database such as SQLite, Microsoft SQL Server, MySQL, SQL Server, MS Access, ORACLE or DB2. The database unit 1 is used to store a dyeing correspondence table. , A preliminary correspondence table and several graded correspondence tables, the dyeing correspondence table, the preliminary correspondence table, and each of the graded correspondence tables are all an electronic form. Among them, the staining correspondence table is used to record several types of pathogens and at least one antibiotic name relative to each of the pathogen types, and the appropriateness of the antibiotic of the antibiotic name is "inappropriate", that is, the antibiotic is used for treatment The therapeutic effect of a pathogen (such as bacteria or mold) with the pathogen type It is ineffective or ineffective.

Specifically, the database unit 1 may be located in a storage unit of the host computer, the staining correspondence table may have a pathogen type field and an antibiotic name field, and the pathogen type field is used to record the number. The antibiotic name field is used to record at least one antibiotic name relative to each pathogen type, and the appropriateness of the antibiotic of the at least one antibiotic name is "inappropriate". The coloring correspondence table can be as follows List one shows:

The preliminary correspondence table is used to record the names of several bacterial species, the names of several antibiotics relative to the names of the bacterial species, and the suitability of the antibiotics of each antibiotic name for the treatment of a pathogen of the bacterial species. In the embodiment, the appropriateness is classified into "may be appropriate", "inappropriate" and "uncertain". Specifically, the preliminary correspondence table may have a strain name column, an antibiotic name column, and an appropriateness column. The strain name column is used to record the names of the several strains and the antibiotic name column And the appropriateness field is used to record the names of several antibiotics and their appropriateness relative to the names of the bacteria. The preliminary correspondence table can be shown in Table 2 below:

The several hierarchical correspondence tables are used to record a germ name, a specimen type, and at least one antibiotic name relative to the germ name, and the appropriateness of the antibiotic name of the antibiotic name is "may be appropriate", and the at least An antibiotic grade of an antibiotic with an antibiotic name. In this embodiment, the specimen type can be divided into blood and cerebrospinal fluid. Specifically, each of the hierarchical correspondence tables may have a pathogen name field, a specimen type field, an antibiotic name field, and an antibiotic hierarchical field. The pathogen name field is used to record the name of the pathogen. The specimen type field is used to record the specimen type, the antibiotic name field is used to record at least one antibiotic name relative to the germ name, and the appropriateness of the antibiotic of the antibiotic name is "may be appropriate", and The antibiotic grade column is used to record the antibiotic grade. When the name of the pathogen is Pseudomonas aeruginosa and the type of specimen is patient blood, the classification table can be as shown in Table 3: Table 3: Classification table

The human-machine interface unit 2 has functions such as input and display. For example, it can be a touch screen or a combination of a display and an input module (such as a keyboard, a mouse). The man-machine interface unit 2 is used for inputting and displaying a medication order, a staining report, a preliminary report and a final report of the patient. The medication order has an antibiotic drug name of the antibiotic being used by the patient, preferably, The drug order also has personal information of the patient, such as a department, a ward number, a medical record number, and a name of the patient. The patient’s medication order can be obtained from a hospital information system (Hospital Information System, HIS), and the hospital information system can automatically send the order to the human-machine interface unit 2, or it can be manually entered by the user. Those with general knowledge in the field can understand, so I won’t repeat them here.

The conventional inspection process can include a staining report, a preliminary report and a final report in sequence. The staining report has the same type of bacteria; the preliminary report has the same type of disease Preliminary name; the final report contains the final name of the same disease species and an antibiotic susceptibility test report. Preferably, the dyeing report, the preliminary report and the final report also each have inspection information such as an inspection item and an inspection status. In detail, the staining report, preliminary report and final report of the patient can be obtained from a laboratory information system (LIS) of the hospital, and the staining report, preliminary report and the final report can be automatically obtained by the laboratory information system. The final report is sent to the man-machine interface unit 2 and can also be manually input by the user, which can be understood by those with ordinary knowledge in the art, and will not be repeated here.

The wireless transmission unit 3 is used to transmit electronic signals, and the wireless transmission unit 3 can be a wireless transmission module such as 4G, 5G, WiFi, or WLAN, but is not limited to this.

The processing unit 4 is electrically connected to the database unit 1, the human-machine interface unit 2 and the wireless transmission unit 3. The processing unit 4 receives a staining report to obtain a consistent pathogen pattern, and the processing unit 4 confirms the In the staining correspondence table, whether there is a match between the pathogen type and the antibiotic drug name recorded in the drug order, if the confirmation result is no, it means that the appropriateness of the antibiotic used by the patient is "may be appropriate" or "not suitable". "OK", the processing unit 4 does not need to perform additional actions; if the result of the confirmation is yes, it means that the appropriateness of the antibiotic used by the patient is "inappropriate", and the processing unit 4 can send a message via the wireless transmission unit 3. The warning signal is sent to a chromium device to remind the doctor (clinician) to adjust the antibiotics used by the patient in his care and to modify the antibiotic name recorded in the medication order. For example, the bichromium device can be a personal assistant (PDA), a smart phone or a tablet; the processing unit 4 can send the warning signal to the bichromium device by sending a short message.

The processing unit 4 receives a preliminary report to obtain the initial name of a consistent disease species. The processing unit 4 compares the preliminary name of the pathogenic species with the antibiotic drug name recorded in the prescription in the preliminary correspondence table. , And the appropriateness of the antibiotic with the name of the antibiotic to treat a pathogen with the initial name of the pathogen is an improper pairing. If the comparison result is no, then The processing unit 4 does not need to perform additional actions; if the comparison result is yes, the processing unit 4 can send another warning signal to a bichromic device through the wireless transmission unit 3 to remind the doctor that he can take care of it The antibiotics used by the patient are adjusted, and the names of antibiotics recorded in the medication order are modified.

When the processing unit 4 receives a final report, it can obtain an antibiotic name from the preliminary correspondence table based on the final name of the pathogenic bacteria and an antibiotic susceptibility report in the final report, and the name of the antibiotic The appropriateness of antibiotics for the treatment of one of the pathogenic bacteria of the final name of the pathogenic bacteria species may be appropriate. The processing unit 4 can obtain an alternative antibiotic of an antibiotic grade lower than the antibiotic name from the hierarchical correspondence table, and the processing unit 4 can send an antibiotic name containing the at least one alternative antibiotic through the wireless transmission unit 3 A notification signal is sent to a combined chromium device for the doctor to adjust the antibiotic used by the patient to the substitute antibiotic.

In the antibiotic selection notification system S1 of the present invention, the processing unit 4 can display the patient's medical order, staining report, preliminary report and final report on the man-machine interface unit 2 with a user interface UI. Specifically, the user interface UI can be used to query and display the patient’s personal information and examination information. In this embodiment, the user interface UI has a field for visiting a department, a field for a ward number, and a field for a ward number. Data fields such as a medical record number field, a name field, a test item field, and a test status field. These data fields are used to display the patient’s department, ward number, medical record number, etc. Name, inspection items and inspection status.

The inspection state can be divided into a normal state and an abnormal state. In this embodiment, the normal state includes "appropriate antibiotics used", "patient has died at the time of inspection", and "patient has been discharged from the hospital at the time of inspection". ”, “Doctor’s request to stop the inspection”, “Failure to meet the monitoring standard” and “Release the monitoring”; the abnormal state includes “Dyeing report medication warning”, “Preliminary report medication warning” and “Final report medication warning”, etc. status.

The processing unit 4 can automatically check whether the inspection state is an abnormal state If the check result is yes, the processing unit 4 can automatically mark the data field recorded as the abnormal state to distinguish it from the data field recorded as the normal state; if the test result is no , The processing unit 4 may not need to perform additional actions. In addition, the processing unit 4 can automatically determine whether the inspection state has changed from the abnormal state to the normal state. If the determination result is yes, the processing unit 4 can automatically record the data field of the abnormal state. The annotation is cancelled; if the judgment result is no, the processing unit 4 may not need to perform additional actions.

For example, the processing unit 4 can preset each data field of the inspection state to a transparent background color, and check whether the inspection state recorded in each data field is the abnormal state, and if the inspection result is yes , The processing unit 4 can change the data field recorded as the abnormal state from the transparent background color to the background color of other colors to remind the nursing staff to pay more attention. In this embodiment, the processing unit 4 is Change the transparent background color to red background color, but not limited to this.

In addition, the processing unit 4 determines whether the inspection state recorded in each data field has changed from the abnormal state to the normal state. If the result of the determination is yes, the processing unit 4 may record the abnormal state as the abnormal state. In the data field, change the red background color back to the transparent background color to remove the reminder to the nursing staff.

The user interface UI of the antibiotic selection notification system S1 of the present invention can be a 3-tier architecture and constructed using MVC software architecture. Specifically, the user interface UI is divided into a model part, a view part and a controller part. The model part is used to encapsulate the business logic of the application Relevant data and the processing method of the data. The view part can realize the purposeful display of the data and can access the corresponding model. The controller part is used to control the flow of the application and process events to respond In addition, how the model part, the view part, and the controller part cooperate with each other is a common knowledge in the relevant field of the present invention, so I won’t repeat it here.

Please refer to Table 1 to Table 3 above, the antibiotic selection notification system S1 of the present invention is in use When it is used, if the doctor evaluates that the patient has a fever caused by cellulitis of the left foot, he may first prescribe oxacillin antibiotics for the patient to take with empirical treatment, and at the same time the patient’s blood sample Send to the inspection room with the inspection information system for inspection.

When the human-machine interface unit 2 obtains the staining report of the patient, and the consistent pathogen type mentioned in the staining report is a gram-negative bacillus, the processing unit 4 confirms that the staining corresponding table has Gram-negative bacilli. The pairing of the oxacillin antibiotics with the negative bacilli, the processing unit 4 sends a warning signal to a bichromium device to remind the doctor to adjust the oxacillin antibiotics used by the patient. Subsequently, after receiving the warning signal, the doctor adjusted the oxacillin antibiotic used by the patient to the cefoxitin antibiotic that may be effective for the treatment of gram-negative bacilli.

When the human-machine interface unit 2 obtains the preliminary report of the patient, and the gram-negative bacillus is mentioned as Pseudomonas aeruginosa in the preliminary report, the processing unit 4 can learn from the preliminary correspondence table that the cefoxitin antibiotic The suitability of Pseudomonas aeruginosa is "inappropriate", that is, the therapeutic effect of cefoxitin antibiotics on Pseudomonas aeruginosa is ineffective or ineffective. Therefore, the processing unit 4 once again sends a warning signal to the bichromium Device to remind the physician to adjust the cefoxitin antibiotic used by the patient. Subsequently, after receiving the warning signal, the doctor adjusted the cefoxitin antibiotic used by the patient to the levofloxacin antibiotic that may be effective in the treatment of Pseudomonas aeruginosa.

When the human-machine interface unit 2 obtains the final report of the patient, the processing unit 4 can be based on the final name of the pathogenic bacteria recorded in the final report (ie, Pseudomonas aeruginosa), and the antibiotic susceptibility in the final report The sex report is based on the appropriateness of an antibiotic name obtained from the preliminary correspondence table, and the antibiotic of the antibiotic name (ie, levofloxacin antibiotic) for treating a pathogenic bacteria of the final name of the pathogenic bacteria species. In detail, as recorded in the preliminary correspondence table, the appropriateness of the antibiotic name relative to the final name of the pathogenic bacteria species is one of possibly appropriate, inappropriate and uncertain. After receiving the final report , The appropriateness of the antibiotic may be changed to one of the remaining two due to the antibiotic sensitivity report, or it may not Change; therefore, it is impossible to directly refer to the preliminary correspondence table to confirm that the therapeutic effect of the antibiotics used by the patient is effective.

The processing unit 4 can obtain an alternative antibiotic (for example: piperacillin antibiotic) whose antibiotic grade is lower than the antibiotic name (ie, levofloxacin antibiotic) from the hierarchical correspondence table; the processing unit 4 can pass through the wireless transmission unit 3 A notification signal containing the antibiotic name of the at least one alternative antibiotic is sent to the bichromium device for the doctor to adjust the antibiotic used by the patient to the alternative antibiotic.

Please refer to Figure 2, which is a preferred embodiment of the medical management system of the present invention, which includes a cloud server C, the antibiotic selection notification system S1, a doctor order system S2, and a testing system S3. The antibiotic selection The notification system S1, the medical order system S2, and the inspection system S3 are respectively coupled to the cloud server C.

The antibiotic selection notification system S1 is coupled to the cloud server C via the wireless transmission unit 3 to cooperate with the medical order system S2 and the inspection system S3. The cloud server C can be a private cloud (Private Cloud), a community cloud (Community Cloud) or a hybrid cloud (Hybrid Cloud), but it is not limited to this.

Specifically, the database unit 1 may be located in a storage unit of a computer host M; the man-machine interface unit 2 is electrically connected to the computer host M and used to display the user interface UI; the wireless transmission unit 3 It can be located in the computer host M and can be coupled to the cloud server C; the processing unit 4 can be located in the computer host M and electrically connected to the storage unit to access records in the database unit 1 The coloring correspondence table, preliminary correspondence table, hierarchical correspondence table and the fourth table.

The medical order system S2 is coupled to the cloud server C. The medical order system S2 is used to generate the patient's medicine order. The medicine order can be sent to the antibiotic selection notification system S1 via the cloud server C, or can be connected via an external The access medium is input to the antibiotic selection notification system S1 for The processing unit 4 presents the medication order on the user interface UI and displays it on the man-machine interface unit 2. In this embodiment, the medical order system S2 is a hospital information system (HIS).

The inspection system S3 is coupled to the cloud server C, and the inspection information S3 is used to generate inspection reports such as the dyeing report, the preliminary report, and the final report, and pass the dyeing report, the preliminary report and the final report through the cloud The server C sends to the antibiotic selection notification system S1, or can be input to the antibiotic selection notification system S1 through an external access medium, and displayed on the man-machine interface unit 2. In this embodiment, the inspection system S3 It is an inspection information system (LIS).

In summary, the antibiotic selection notification system and the medical management system with the system of the present invention are capable of judging that the antibiotics being used by the patient may be appropriate when the human-machine interface unit receives the patient's final report, and By integrating the dyeing correspondence table, the preliminary correspondence table, and the graded correspondence table, a substitute antibiotic with an antibiotic grade lower than the antibiotic and possibly an appropriate effect is obtained, and the processing unit determines the substitute antibiotic's value according to the wireless transmission unit. The name is sent to the doctor's bichromium device for the doctor to adjust the antibiotic used by the patient to the substitute antibiotic. In this way, the present invention can shorten the time lag between the issuance of the patient's test report and the doctor's adjustment of medication, reduce the chance of inducing the generation of pathogenic bacteria and drug-resistant bacteria, and improve the quality of medical care.

Although the present invention has been disclosed using the above-mentioned preferred embodiments, it is not intended to limit the present invention. Anyone who is familiar with the art without departing from the spirit and scope of the present invention may make various changes and modifications relative to the above-mentioned embodiments. The technical scope of the invention is protected. Therefore, the scope of protection of the invention shall be subject to the scope of the attached patent application.

1: Database unit

2: Human-machine interface unit

3: Wireless transmission unit

4: Processing unit

UI: User interface

Claims (4)

An antibiotic selection notification system, comprising: a database unit for storing a staining correspondence table, a preliminary correspondence table, and a plurality of hierarchical correspondence tables. The staining correspondence table is used to record a plurality of pathogen types and relative to each At least one antibiotic name of the pathogen type, and the appropriateness of the antibiotic name of the antibiotic name is inappropriate, the preliminary correspondence table is used to record several bacterial species names, several antibiotic names relative to each of the bacterial species names, and The suitability of the antibiotic of each antibiotic name for the treatment of a pathogen of the bacterial species name, and each of the hierarchical correspondence tables is used to record a pathogen name, a specimen type, and at least one antibiotic name relative to the pathogen name. And the appropriateness of the antibiotic of the antibiotic name is possibly appropriate, and the antibiotic grade of the antibiotic of the at least one antibiotic name; a human-computer interface unit for inputting and displaying a patient's prescription, a staining report, a preliminary report and A final report, the drug order has an antibiotic drug name of the antibiotic being used by the patient, and the final report has the final name of the same disease species; a wireless transmission unit for transmitting electronic signals; and a processing unit electrically connected to the The database unit, the man-machine interface unit, and the wireless transmission unit, the processing unit obtains a consistent pathogen type by receiving the staining report, and the processing unit confirms whether the staining correspondence table has the pathogen type Matching with the name of the antibiotic, if the confirmation result is yes, a warning signal will be sent to a dual chromium device to remind the doctor to adjust the antibiotic used by the patient and the name of the antibiotic recorded in the drug order After the modification, the processing unit receives the preliminary report to obtain the initial name of the consistent pathogenic species. The processing unit compares the preliminary name of the pathogenic species with the antibiotic drug name in the preliminary correspondence table, and the antibiotic The appropriateness of the antibiotic of the drug name for the treatment of a pathogen with the initial name of the pathogen is an inappropriate match. If the result of the comparison is yes, another warning signal will be sent to the bichromium device to remind the physician And revise the antibiotic name recorded in the drug order, and the processing unit receives the final report When reporting, based on the final name of the pathogenic bacteria and an antibiotic susceptibility report in the final report, an antibiotic name is obtained from the preliminary correspondence table, and the antibiotic of the antibiotic name is the final name for the treatment of the pathogenic bacteria The suitability of one kind of pathogenic bacteria is possibly suitable, the processing unit obtains from the hierarchical correspondence table an alternative antibiotic with an antibiotic grade lower than the antibiotic name, and the processing unit sends the antibiotic name containing the at least one alternative antibiotic A notification signal of to the bichromium device for the physician to evaluate whether to adjust the antibiotic used by the patient to the alternative antibiotic. For example, the antibiotic selection notification system of claim 1, wherein the processing unit displays the medical order, the dyeing report, the preliminary report, and the final report on the man-machine interface unit through a user interface, and the user interface has records At least one data field of the patient’s examination state. The examination state is divided into a normal state and an abnormal state. The processing unit checks whether the examination state recorded in each data field is the abnormal state, and if the examination result is If yes, the processing unit marks the data field recorded as the abnormal state. For example, the antibiotic selection notification system of claim 2, wherein the processing unit automatically determines whether the inspection state is changed from the abnormal state to the normal state, and if the determination result is yes, the processing unit automatically records the abnormal state. The labeling of the data field is released. A medical management system includes: an antibiotic selection notification system such as any one of request items 1 to 3; a cloud server coupled to the wireless transmission unit; a medical order system coupled to the cloud server, the medical order system uses To generate a drug order for the patient, and send the drug order to the human-machine interface unit; and an inspection system coupled to the cloud server, and the inspection system is used to generate the dyeing report, the preliminary report, and the final report , And send the dyeing report, the preliminary report and the final report to the man-machine interface unit.

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