摘要
目的:评价我院实施《处方管理办法》(简称《办法》)前、后围术期患者抗菌药物预防性应用情况。方法:调查我院2006年1月～2007年12月(实施前)及2008年1月～2009年6月(实施后)出院患者病历288例和241例,对围术期患者预防性应用抗菌药物情况进行对比分析。结果:《办法》实施前、后我院围术期患者抗菌药物预防性应用率均达100%,均约有50%存在用药时间过长现象。尽管抗菌药物用药时间合理率由实施前的4.34%上升至25.93%,但抗菌药物选择等级呈上升趋势,不合理联用问题仍较突出。结论:我院应进一步完善不合理用药医师责任制度,加强医务工作者合理用药教育,促进抗菌药物合理应用。
OBJECTIVE：To evaluate perioperative prophylactic application of antibiotics before and after implementation of Prescription Management Ordinance in our hospital.METHODS：288 discharge medical records and 241 discharge medical records were collected from our hospital from Jan.2006 to Dec.2007 or from Jan.2008 to Jun.2009.Perioperative prophylactic application of antibiotics was analyzed comparatively.RESULTS：The utilization ratio of perioperative prophylactic use of antibiotics was 100% before and after implementation of Prescription Management Ordinance.About half of antibiotics use showed overlong duration of administration.In the period of Jan.2008 to Jun.2009,the percentage of appropriate administration time increased to 25.93%,compared with 4.34% from Jan.2006 to Dec.2007.But the situation of the irrational selection of antibiotics and unreasonable drug combination therapy had become worse.CONCLUSION：Our hospital should set up a clear responsibility system of doctor＇s irrational behaviors of antibiotics use and strengthen education of rational drug use to promote rational use of antiboitics.
出处
《中国药房》
CAS
CSCD
北大核心
2010年第34期3189-3191,共3页
China Pharmacy
关键词
围术期
抗菌药物
预防性应用
合理用药
Perioperative period
Antibiotics
Prophylactic application
Rational use of drugs
