摘要
目的:探讨茂名市人民医院(以下简称"我院")抗菌药物处方用药合理性,为制订相应改进策略提供参考。方法:随机抽取2015年1月—2017年1月我院抗菌药物处方14 523张,其中住院患者处方9 090张,门诊患者处方5 433张。评估抗菌药物应用合理性,对不合理用药进行统计分析。结果:14 523张抗菌药物处方中,合理用药处方14 140张(住院患者8 990张,门诊患者5 150张),处方用药合理率为97.36%。383张抗菌药物不合理应用处方中,无指征用药处方141张,占36.81%;用法与用量不适宜处方108张,占28.20%;重复用药或联合用药不合理处方61张,占15.93%;溶剂选择不适宜处方较少,仅11张,占2.87%。结论:我院抗菌药物的使用仍存在一定问题,应针对相应问题及时对临床医师进行培训,提高抗菌药物合理使用率。
OBJECTIVE： To probe into the application rationality of antibiotics in prescriptions from Maoming People＇s Hospital（hereinafter referred to as ＂our hospital＂）, so as to provide reference for the formulation of related improvement measures. METHODS： 14 523 prescriptions with antibiotics from Jan. 2015 to Jan. 2017 were randomly extracted in our hospital, among which 9 090 cases were inpatient prescriptions and 5 433 cases were outpatient prescriptions. The rationality of antibiotics was evaluated and statistical analysis was conducted on irrational drug application. RESULTS： Of the 14 523 prescriptions with antibiotics, 14 140 prescriptions were rational （8 990 prescriptions for inpatients and 5 150 prescriptions for outpatients ）, the rational rate of drug application in prescriptions was 97.36%. Of the 383 prescriptions with irrational application of antibiotics, 141 prescriptions had no indications, accounting for 36. 81% ; 108 prescriptions had improper usage and dosage, accounting for 28.20% ;and 61 prescriptions had repeated medication or irrational combination drug use, accounting for 15.93%; yet only 11 prescriptions had improper selection of solvent, accounting for 2. 87%. CONCLUSIONS： There are still some problems in the application of antibiotics in our hospital. It is necessary to conduct timely training for clinicians according to relevant problems, so as to improve the rational application rate of antibiotics.
出处
《中国医院用药评价与分析》
2017年第12期1677-1679,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
处方分析
抗菌药物
不合理用药
Prescription analysis
Antibiotics
Irrational drug application
