门诊抗菌药的横断面应用情况及处方书写规范分析  

Clinical Application of Antibiotic Agents and Standard of Prescription Writing in Outpatient Clinic Prescriptions:A Cross Section Investigation

作　　者：汤静[1] 刘皋林[1] 徐红冰[1] 胡道德[1] 田丰[1] 张霞[1] 顾磊[1] 

机构地区：[1]上海交通大学附属第一人民医院临床药学研究室,上海200080

出　　处：《中国医药导刊》2007年第2期153-154,131,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:了解门诊抗菌药横断面应用情况及处方书写规范情况,促进临床合理用药和规范化书写处方。方法:采用横断面分析,收集门诊西药房2006年10月19日0～24时门诊处方,对抗菌药应用及处方书写规范情况进行统计分析。结果:门诊处方中抗菌药应用比例为23．59%;联用比例为18．48%;抗菌药应用频率排序前三位的分别是第三代喹诺酮类(31．58%)、第一代头孢菌素类(23．16%)和硝基咪唑类(15．09%);门诊处方书写不规范情况主要是药品用法用量书写不规范(67%)和药品名称书写错误(55%)。结论:门诊抗菌药应用基本合理,但应加强细菌培养及药敏实验,避免抗菌药滥用;门诊处方用法用量书写应符合规范,应避免因药名书写错误导致的医疗失误。Objective： To investigate outpatient clinic prescriptions in a hospital and analysis the use of antibiotic agents and standard of prescription writing. Methods： A cross section investigation was used to survey the clinical application of antibiotic agents and standard of prescription writing within a day. Results： The usage rate of antibiotic agents was 23.59%. The proportion of combination use of antibiotic agents was 18.48%. It was involved in 10 categories of antibiotic agents, the third generation carbostyril （31.58%） was used al most, next were the first generation cephalosporin （23.16%） and nitromidazole （15.09%）. Nonstandard prescription writing contained the substandard usage and dosage of drugs （67%） and incorrect writing names of drugs （55%）. Conclnsion： It is totally reasonable for the use of antibiotic agents in outpatient clinic prescriptions, but it is recommended to emphasize on germiculture and antibiotic sensitive tests and enhance the monitoring on antibiotic rational use of special crowds. The writing of prescription should be standard and avoid medical dispute from incorrect writing names of drugs.

关 键 词：门诊抗菌药 横断面分析 处方书写规范 

分 类 号：R95[医药卫生—药学]