412例妇产科门诊患者抗菌药物使用调查及分析  

Application of antibiotics in 412 obstetrics and gynecology outpatients

作　　者：叶高峰[1] 焦玉冰[1] 许也齐[1] 夏阳[1] 于静[1] 

机构地区：[1]空军航空医学研究所附属医院感染控制科,北京100089

出　　处：《中华医院感染学杂志》2012年第9期1885-1886,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解与分析妇产科门诊患者抗菌药物使用情况,促进临床合理用药。方法随机选择医院2011年3月,妇产科门诊患者412例,对其处方进行抗菌药物使用回顾性调查与分析。结果妇产科门诊患者抗菌药物使用率为78.4%,其中常见妇产科疾病及妊娠终止患者的抗菌药物使用率分别为80.3%及98.8%;非感染疾病用药占10.2%;联合用药占84.7%;静脉输液使用抗菌药物占97.8%;奥硝唑和甲磺酸帕珠沙星使用频率分别占42.4%和25.5%。结论妇产科门诊患者抗菌药物使用存在用药指征掌握不严,用药无选择针对性,联合用药、用药途径不合理等盲目滥用现象,亟待抗菌药物使用管理相关卫生行政立法,加大处罚、监管及督查力度,同时要加强医德、法规及相关专业知识的学习及培训教育。OBJECTIVE To study and analyze the status of the application of antibaterial application in obstetrics and gynecology outpatients to promote rational use of antibacterials.METHODS A total of 412 patients of obstetrics and gynecology outpatients in Mar.2011 were randomly collected.Their prescriptions were retrospectively investigated and analyzed.RESULTS The rate of antibacterial application in obstetrics and gynecology outpatients was 78.4%,the rates of antibacterials application in patients with common gynecological and obstetrical diseases or termination pregnancy were 80.3% or 98.8%,respectively.The patients without infected diseases accounted for 10.2%.The combination of antibiotics use accounted for 84.7%,and intravenous infusion accounted for 97.8%.The frequencies of using ornidazole and pazufloxacin accounted for 42.4% and 25.5%,respectively.CONCLUSION Abuse of antibiotics in obstetrics and gynecology outpatients are very serious including irrational indications for medication,unclear purposes of drug prescription,combination of antibacterials and unreasonable administration approaches.Countermeasures like establishing executive medical rules for clinical application of drugs,strengthening the supervision and management and the staff training should be taken.

关 键 词：抗菌药物 妇产科 门诊 合理用药 

分 类 号：R978.7[医药卫生—药品]