门诊处方抗菌药物应用调查分析  

Analysis of outpatients' antimicrobial prescription

作　　者：唐玉梅[1] 陈解语[1] 陈晓宇[1] 荣延平[1] 

机构地区：[1]广西壮族自治区人民医院,广西南宁530021

出　　处：《中国感染控制杂志》2006年第3期231-233,共3页Chinese Journal of Infection Control

摘　　要：目的了解某院门诊抗菌药物使用情况,以指导抗菌药物的合理使用。方法抽取门诊西药房2005年1,2月份各1周的处方,筛选出应用抗菌药物的处方。根据《抗菌药物临床应用指导原则》,结合处方的诊断、患者年龄,分析抗菌药物在选药、用法、用量、疗程、联合用药等方面的情况。结果共抽查抗菌药物处方6 139张,占所查处方的29.11%。查出不合理处方490张,占抗菌药物处方的7.98%;分别在给药方案、联合用药、抗菌药物品种选择、疗程等方面存在不合理应用现象。结论门诊抗菌药物管理还要进一步加强。定期抽查门诊处方对合理使用抗菌药物,控制病原菌耐药,保障患者安全有重要意义。Objective To investigate the application of antimicrobial agents in outpatients in a hospital and to guide the rational use of antimicrobial drags. Methods A retrospective survey of outpatients＇ prescription data between January 2005 and February 2005 was conducted. Antimicrobial prescription were selected to review and analyze in respect of antimicrobial choice, administered approach, dose, treatment course and combining use. Results There were 6 139 antimicrobial prescription, which accounting for 29.11% of chosen prescription. 490 irrational antimicrobial prescription were found, which accounting for 7.98% of antimicrobial prescription. The irrational usage included inappropriate antimicrobial choice, irrational combining use and therapeutic course. Conclusion Management of outpatients＇ antimicrobial prescription needs to be promoted. Periodic surveillance of the outpatients＇ antimicrobial prescription plays an important role in appropriate use of antimicrobials, reducing antimicrobial resistance and ensuring patients＇ safety.

关 键 词：抗菌药物 合理用药 门诊医疗 处方 药物 药品管理 

分 类 号：R969.3[医药卫生—药理学]