摘要
目的：了解本院门诊抗菌药物的使用情况，为临床合理用药提供参考。方法应用处方点评软件从本院系统中抽取2013年12月26日～2014年3月25日门诊抗菌药物处方719张，并通过HIS系统查询同时期门诊抗菌药物处方比例、门诊抗菌药物总使用量及消耗金额，评估抗菌药物使用频度（DDDs）、合理性及经济性。结果门诊抗菌药物处方占门诊普通处方的19.13%，所患疾病以呼吸系统、消化系统、泌尿生殖系统感染为主；给药方式以静脉注射（80.53%）为主；仅52张（7.23%）使用不合理，其中以遴选药品不适宜占比最高（占73.08%）；用药频率较高的前3类抗菌药物分别为头孢菌素类、大环内酯类、β-内酰胺酶抑制剂类，注射用头孢呋辛钠在DDDs及消耗金额排序中均列第1位。结论选用抗菌药物时，应充分考虑患者的病情，致病微生物的特点，药物抗菌谱、适应证及不良反应，药品价格等因素，进一步提高抗菌药物合理使用水平，使患者用药达到真正的安全、有效、经济。
Objective To understand the usage of antibacterial drugs of outpatient services of our hospital to provide reference for clinical rational drug use. Methods 719 prescriptions of antibacterial drugs in outpatient services were ex-tracted from the system of our hospital from December 26,2013 to March 25,2014 applying prescription evaluation software,DDDs,rationality and economy of antibacterial drugs were evaluated through HIS system inquiring about the proportion of antimicrobial prescription,the total usage and consumption amount of antibacterial drugs at the same peri-od. Results Antimicrobial prescription accounted for 19.13%of the common prescription in outpatient services,the dis-ease mainly in the respiratory system,digestive system,genitourinary system infection;administration （80.53%） was main-ly intravenous injection;only 52 prescriptions （7.23%） was unreasonable use,among them the unqualified selection of drugs accounted for the highest （73.08%）;the former 3 types of antibacterial drugs use of higher frequency was cephalosporins , macrolides , Beta lactamase inhibitory type , cefuroxime sodium for injection in ordering of DDDs and consumption amount were listed in first. Conclusion When antimicrobial drugs were used,the patient’s condition,the characteristics of pathogenic micro-organisms,the antibacterial spectrum,indicatio and adverse reaction of drug,price of drug and other factors should be considered fully to further improve the level of rational use of antibacterial drugs to make patient’s medication achieve real safety,effectiveness,economy.
出处
《中国当代医药》
2014年第32期164-166,共3页
China Modern Medicine
关键词
门诊
抗菌药物
使用情况
Outpatient services
Antibacterial drugs
Usage
