摘要
目的了解、分析该院门诊抗菌药物的使用情况,评价用药合理性,为临床合理用药提供参考。方法随机抽取该院2011年门诊处方8400张,依据相关制度、药物说明书及相关文献,计算抗菌药物的使用比例,统计用药频度(DDDs)排名前10位的抗菌药物及不合理用药情况等,从而对门诊抗菌药物的使用情况进行分析。结果 8400张门诊处方中使用抗菌药物的处方共计3024张,抗菌药物使用率为36.0%;含头孢菌素类药物处方共计1966张,占抗菌药物处方的65.0%;采用静脉途径给药的处方共计2273张,占抗菌药物处方的75.2%;不合理应用抗菌药物处方共计330张,占抗菌药物处方的10.9%,不合理用药主要表现在无指征用药、用药方法不当、超越权限用药、溶媒不适宜、重复用药、联合用药不规范。结论该院门诊抗菌药物的使用基本合理,但仍存在某些问题,需要进一步加强抗菌药物合理应用的管理。
Objective To understand and analysze antimicrobial drug use in the hospital,evaluate of drug resistance, and provide a reference for clinical use. Methods Random sample of 2011 hospital outpatient prescriptions （ 8400 ） were se- lected, according to the relevant system description of the drug and related literature to calculate the proportion of antimicrobial drug use, statistical use of the frequency of the top 10 of irrational drug use of antibiotics and antibacterial drugs, outpatient an- timicrobial drugsusage were analyze. Results Total sample of 8400 prescriptions,including the use of antimicrobial drugs pre- scription 3024, antibiotics use 36.0% ;irrational use of antimicrobial drug prescribing 330, accounting for 10.9% of the total number of antimicrobial drug prescribing;cephalosporin drugs accounted for 60% utilization. 70% of the outpatient antimicro- bial agents using the intravenous route of administration;match rate from the indications on the clinical use of drugs and medi- cation instructions, the match rate was 72.5 % ,irrational drug use mainly in the no indications of drug use, improper medica- tion, beyond the authority medication, the solvent was not suitable for combination therapy is not standardized. Conclusion My the courtyard emergency Hang bacteria drug use is reasonable, but there are still some problems need to further strengthen the management of the rational use of antibiotics.
出处
《临床合理用药杂志》
2012年第14期48-49,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
抗菌药物
门诊
处方
合理用药
Antimicrobial agents
Outpatient department
Prescription
Rational drug use
