摘要
目的:分析医院儿科上呼吸道感染处方的用药特点、存在的问题,为临床合理安全用药提供参考依据,促进儿科合理用药。方法:采用回顾性分析方法,从医院信息系统(HIS)调取医院儿科门诊诊断为上呼吸道感染的处方600张,对其药物使用特点、类别、给药频次及给药途径等进行统计、分析。结果:在600张处方中,共使用药品13类56种(不包括溶媒),其中抗菌药物21种、抗感冒复方制剂6种、抗病毒药物2种(同名不分剂型与规格);使用抗菌药物处方数为430张(71.67%),其中单一使用抗菌药物处方301张(50.16%)抗菌药物与抗病毒药物联合用药处方数为129张(21.50%);单一使用抗病毒药物处方52张(8.67%),无抗菌药物或抗病毒药物二联及以上用药情况;静脉给药的处方有315张(52.50%)。结论:我院儿科上呼吸道感染的治疗以抗感染为主,存在抗菌药物使用过度、单剂量使用偏高、给药频次和给药途径不合理的现象,儿科门诊用药的合理性和安全性有待加强管理和培训。
Objective ：To analyze the characteristics and problems of the prescriptions drug use in pediatric patients with upper respiratory tract infection so as to provide a reference for rational drug use in clinic and promote the rational use of pediatric drugs. Methods ：A total of 600 prescriptions for upper respiratory tract infection were collected from the hospital information system（HIS） of pediatric outpatient clinic, in which the characteristics, category, dosing frequency and route of drug use were analyzed statistically by retrospective analysis method. Results ：A total of 13 categories and 56 species（not including solvent） of drugs were used in the 600 prescriptions, including 21 kinds of antibacterials, 6 kinds of compound preparation against cold and 2 antiviral drugs（of the same name, regardless of dosage forms and specifications）. Antimicrobial drugs were used in 430（71.67%） prescriptions, including a single antibacterial drug in 301（50.16%） and combination of antibacterial drugs and antiviral drugs in 129（21.50%） ones. Antiviral drugs were used alone in 52（8.67%） prescriptions, while no two antibacterial or two antiviral drugs were used in combination. The drugs in 315（52.50%） prescriptions were administered by intravenous infusion. Conclusion ：The upper respiratory tract infection in pediatric outpatient clinic of our hospital were mainly treated by anti-infection therapy, in which the phenomenon such as overuse of antibiotics, high dosage of single dose and unreasonable, frequency and route of administration were found, indicating that the management should be strengthened to improve the rationality and safety of drug use in pediatric outpatient clinic.
出处
《中国执业药师》
CAS
2016年第2期15-18,共4页
China Licensed Pharmacist
关键词
上呼吸道感染
儿科
处方分析
合理用药
Upper Respiratory Tract Infection
Pediatrics
Analysis of Prescription
The Rational Use of Drugs
