昆明市某“三甲”医院门诊患者抗菌药物的应用分析  

Analysis of Antibiotics Usage in Out-patients of A Triple-A Hospital in Kunming

作　　者：晏黎[1] 田静[1] 

机构地区：[1]昆明市第一人民医院药剂科,昆明650011

出　　处：《抗感染药学》2012年第3期217-219,共3页Anti-infection Pharmacy

摘　　要：目的:分析昆明市第一人民医院2012年3月门诊患者抗菌药物的使用情况,为规范抗菌药物在门诊的使用与管理提供参考。方法:采取回顾性分析方法,随机抽取2012年3月门诊处方17262张,对其中使用抗菌药物的处方进行分析。结果:抽取的17262张处方中,抗菌药物的使用率为9.27%(1601/17262);合理使用抗菌药物处方1530张,合格率为95.57%(1530/1601),不合理使用抗菌药物处方71张,占抗菌药物处方的4.43%(71/1601),占总处方数的0.41%(71/17262);不合理使用抗菌药物处方中以无感染诊断处方为主,占73.24%(52/71);使用抗菌药物种类主要有6大类,依次为:头孢菌素类、青霉素类、氟喹诺酮类、大环内酯类、硝基咪唑类、克林霉素;联合用药以单一用药为主,占处方使用率的83.57%(1338/1601),二联用药处方使用率为16.37%(262/1601)。结论:门诊抗菌药物的应用基本合理,但无感染诊断使用抗菌药物的现象较为突出,应采取行政干预措施提高合理用药水平。Objective： To analyze the use of antibiotics by out-patients in march 2012, and to provide the reference for rationally using and managing antibiotics. Methods： By a retrospective review, a tatol of 17 262 prescription cases in march 2012 were extracted randomly and the prescription of using antibiotics in which were analyzed statistically. Results： In 17 262 cases there were 1 601 cases of the use of antibiotics and the rate of utilization was 9.27% （ 1 601/17 262）, the prescription of using antimicrobial agents reasonably were 1 530 cases and the acceptance rate was 95.57% （1 530/1 601） , the prescription of using antimicrobial agents irrationally were 71 cases and accounting for 4.43% （ 71 / 1 601 ） of the antimicrobial prescription and 0.41% （ 71 / 17 262） of total number of prescription. In the pre- scription of using antimicrobial agents irrationally, no infection diagnosis using antimicrobial was primary, accounting for 73.24% （52/71）.Use of antimicrobial agents was mainly the following 6 kinds： cephalosporins, penicillins, fluoroquinolones, macrolides, nitroimidazoles and clindamycin. Drug combination based on single usage, the rate of utiliza- tion comprised 83.57%（1 338/1 601 ） and two-drug was 16.37%（262/1 601 ）. Conclusion： Out-patient service of anti- microbial application were basically reasonable, but phenomena agents use without the infection diagnosis was more se- rious. The continuous improvement should be done.

关 键 词：抗菌药物 处方分析 合理用药 

分 类 号：R969.3[医药卫生—药理学]