我院111例住院患者“特殊使用类”抗菌药物应用分析  

Analysis of the Utilization of "Special Use" Antibiotics in 111 Inpatients from Our Hospital

作　　者：徐红青[1] 杨燕[1] 徐勤[1] 詹少卿[1] 刘亚蓉[1] 徐浩然[1] 陈桂平[1] 

机构地区：[1]江苏南通市第一人民医院,南通市226001

出　　处：《中国药房》2011年第46期4333-4336,共4页China Pharmacy

基　　金：江苏省南通市社会发展科技计划项目(S2010058)

摘　　要：目的:评价我院"特殊使用类"抗菌药物(抗真菌药除外)的应用情况。方法:对我院2010年7-9月111例住院患者应用"特殊使用类"抗菌药物的情况进行回顾性统计、分析。结果:111例住院患者中,应用"特殊使用类"抗菌药物适应证合理者91例,占82.0%;应用疗程与用法用量合理者52例,占46.8%;联合用药者38例,其中合理者32例,占84.2%;老年或肝、肾功能不全者65例,其中剂量调整合理者33例,占50.8%。结论:我院"特殊使用类"抗菌药物的临床应用不甚合理,在适应证、应用疗程与用法用量、联合用药及特殊人群用药的剂量调整等方面需进一步规范。OBJECTIVE：To evaluate the utilization of ＂special use＂ antibiotics in our hospital,except for antifungal drugs.METHODS：The use of ＂special use＂ antibiotics in our hospital was investigated and statistically analyzed during Jul.-Sept.in 2010.RESULTS：Among involved 111 hospitalized patients,91 patients whose indications for ＂special use＂ antibiotics were reasonable,accounting for 82.0%;there were 52 cases with rational medical treatments,usage and dosage,accounting for 46.8%;in 38 cases of combination therapy,32 patients received rational administration of ＂special use＂ antibiotics,which accounted for 84.2%;in 65 patients elderly or with liver and kidney dysfunction,the cases of reasonable dose adjustments amounted to 33 which occupied 50.8%.CONCLUTION：The clinical application for ＂special use＂ antibiotics are not reasonable in our hospital.Several aspects should be standardized in terms of indication,treatment course,dosage and usage,drug combination and dosage adjustment for drug use of special group,etc.

关 键 词：“特殊使用类”抗菌药物 住院患者 合理用药 评价 

分 类 号：R969.3[医药卫生—药理学] R287[医药卫生—药学]