抗菌药物合理应用检查与处方点评  

Reasonable Application Check and Prescription Comments of Antibacterial Drugs

作　　者：丁苏青 鲁青[1] 王凤[1] 

机构地区：[1]解放军401医院,青岛市266071

出　　处：《中国病案》2013年第3期17-18,共2页Chinese Medical Record

摘　　要：目的加强医院抗菌药物合理用药的督查及管理,促进抗菌药物临床应用水平不断提高。方法通过医院质量检查专家组对2010年-2012年住院病案合理用药情况随机抽样检查,以抗菌药物使用情况为重点,进行对照检查,处方点评,分析通报。结果抽查住院病案3175份,其中应用抗菌药物病案2070份,三年来抗菌药物使用率分别为69.1%,66.0%,60.5%,抗菌药物不合理应用的病案率分别为50.1%,39.1%,22.9%,呈逐年下降的趋势。结论通过病案检查进行处方点评,使临床抗菌药物不合理应用的点评依据性更强,说服力更大,临床医生易于接受,是一种较好的遏制抗菌药物不合理应用的管理手段。Objective To strengthen the supervision and management of proper prescription of antibacterial drugs. To promote the clinical application of antibacterial drugs level enhances unceasingly. Methods An expert panel randomly checked medical records for proper prescription from 2010 to 2012. The antibacterial drugs use condition is the key point. The results were analyzed and reported. Results A total of 3,175 cases were samples, among which 2,070 （65 %） involved the usage of antibiotics. Antimicrobial usage rate were 69.1%, 66.0%, 60.5 % in these three years, unreasonable application of the medical record rate of antibacterial drugs were 50.1%, 39.1%, 22.9%. There is a falling trend year by year. Conclusion Medical records check for comments on prescription can have more strong basis and more persuasive. Clinical doctors can easy to accept. It is a kind of good management tool to keep within limits of antibacterial drugs unreasonable application.

关 键 词：抗菌药物 合理应用 病案检查 处方点评 

分 类 号：R96[医药卫生—药理学]