门诊呼吸科患者抗生素使用情况调查  

Investigation of Antibiotic Utilization in Respiration Department for Outpatients

作　　者：刘贤买[1] 汪峰[2] 韦吕伟[1] 夏世金[3] 

机构地区：[1]广西省桂林市广州军区桂林疗养院门诊部,桂林541003 [2]广东省广州市解放军第458医院眼科,广州510610 [3]复旦大学附属华东医院上海市老年医学研究所,上海200040

出　　处：《成都医学院学报》2013年第1期26-28,共3页Journal of Chengdu Medical College

基　　金：国家自然科学基金(NO:81270115)

摘　　要：目的了解并分析本院门诊呼吸科患者抗生素使用情况,为促进门诊抗生素的合理用药提供依据。方法收集医院门诊呼吸科2012年1～12月处方2 143份,从用药频率、给药途径、联合用药等方面,分析患者使用抗生素的情况,根据《抗菌药物临床指导原则》对抗生素合理使用进行评定。结果使用抗生素处方1 890份,占88.19%,用药频率居前3位的分别是阿莫西林胶囊、左氧氟沙星片、头孢曲松钠注射液。其中单药使用占45.32%,二药联用占36.44%,三药联用占6.43%。给药途径中,口服占76.21%,肌肉注射占1.72%,静脉滴注占22.34%。用药物利用指数(DUI)合理,合理处方占73.7%,不合理处方占26.3%。不合理主要表现为:抗生素非必要使用以及用药途径不合理。结论门诊呼吸科抗生素使用率较高,且存在一定的不合理现象,应加强抗生素的管理和应用。Objective To analyze the antibiotic utilization of respiration department for outpatients in our hospital and to provide data for rational administration. Methods In this investigation, 2 143 clinical prescriptions were collected randomly from prescriptions from Jan 2012 to Dec 2012. Antibiotic utilization was analyzed according to drug cost,dosage form and drug combination. Rational administration was evaluated follow The Guiding Principles for Clinical Use of Antibacterial Drugs. Results Prescriptions with antibiotic were 1 890, 88. 19% of total prescriptions. One-, two- or three-drug combination was 45. 32%, 36. 44% or 6. 43%, respectively. Oral administration,intramuscular injection or intravenous drip was 76.21%, 1.72% and 22.34% ,respectively. Rational prescription was 73. 7%. Irrational prescription was 26. 3% and was mainly due to excessive administration and irrational drug form. Conclusion Excessive and some irrational utilizations of antibiotic are found in respiration department for outpatients and antibiotic supervision should be emphasized.

关 键 词：抗菌素 门诊 呼吸科 合理用药 

分 类 号：R56[医药卫生—呼吸系统]