摘要
目的:分析某卫生服务中心门诊抗菌药物使用的合理性等相关因素,为基层抗菌药物的合理使用提供参考。方法:选取2017年1—12月间门诊处方364 359张,分析处方中抗菌药物使用种类和品种及其销售金额、用药频度(DDDs)和日均费用(DDC)的合理性。结果:364 359张处方中,其中抗菌药物处方20 871张占门诊总处方的5.73%;抗菌药物种类以第2代头孢菌素、大环内酯、喹诺酮类药物为主;销售金额前3位的药品为头孢克洛、左氧氟沙星和头孢丙烯口服剂型;DDDs排序前3位的药品为左氧氟沙星、头孢克洛和阿奇霉素口服剂型;DDC最低的是头孢呋辛酯口服剂型。结论:该卫生服务中心门诊抗菌药物使用情况属基本合理,但仍需对其进行规范化管理,以确保患者用药的有效性和安全性。
Objective: To analyze the rationality of the usage of antibacterial agents in a health service center and to provide a reference for the rational use of antimicrobial agents for primary medical institutions. Methods: A total of 364 359 prescriptions of outpatient from January to December 2017 were selected to analyze the rationality of the types and varieties of antimicrobial drugs used in the prescriptions, as well as their sales amount, medication frequency(DDDs) and daily cost(DDC). Results: Among the 364 359 prescriptions, 20 871 prescriptions for antimicrobial agents accounted for 5.73% of the total prescriptions. The second generation of cephalosporins, macrolides and quinolones were the main antimicrobial agents used. Cefaclor, levofloxacin and cefopropene were the TOP 3 drugs in terms of sales amount. The TOP 3 DDDs drugs were levofloxacin, cefaclor and azithromycin in oral dosage forms. The lowest daily cost(DDC) was the oral dosage form of cefuroxime ester. Conclusion: The usage of antimicrobial agents in the outpatients of the health service center is basically reasonable, but it still needs to be standardized in management to ensure the effectiveness and safety of patient medication.
作者
杨琦
YANG Qi(Lingyun Street Community Health Service Center of Xuhui District, Shanghai 200237, China)
出处
《抗感染药学》
2019年第2期213-216,共4页
Anti-infection Pharmacy
关键词
抗菌药物
合理性
用药频度
基层医疗机构
antimicrobial drugs
rationality
DDDs
primary medical institutions
