本院“特殊使用”类抗菌药物的使用情况分析  

Use of a hospital “special use” analysis of antibacterial drugs

作　　者：李仲群[1] 李伟恩[1] 甄炬荃 

机构地区：[1]广东省江门市中心医院药剂科,江门529000

出　　处：《北方药学》2014年第8期112-113,共2页Journal of North Pharmacy

摘　　要：目的：分析本院“特殊使用”类抗菌药物的使用情况。方法：资料选自2011年11月-2012年11月本院178例使用“特殊使用”类抗菌药物患者的住院病历进行回顾性分析。结果：178例患者在住院期间存在同时或交替使用特殊抗菌药物情况，其中以碳青霉烯类为主，使用率达42．91％；药物使用集中于呼吸科患者的治疗过程；在178例病例中有127例使用合理并开具了医院药师委员会制定专家会诊用药同意书，43例基本合理，8例不合理；其中165例是由具有该类药物处方权的医师开出，13例属于处方医师不按规定越级使用。结论：加强医院“特殊使用”类抗菌药物的使用管理，能够控制细菌耐药率上升，同时还能防范多重耐药菌的出现以防止“超级细菌”出现，值得临床推广。Objective：Analyze usage of our hospital, ＂special use＂ class of antimierobial agents. Methods： Data selected in November 2012, November 2013 178 cases of hospital medical records using a class of antibacterial drugs in patients with ＂special use＂ were retrospectively analyzed. Results： The presence of 178 patients simultaneously or alternately using a special antimierobial agents, including earbapenems mainly to its use during hospitalization rate 42.91% ; focused on drug use and treatment of patients in Respiratory; eases 178 eases in there are 127 eases of the use of reasonable and issued a consultation of experts established by the Committee of Hospital Pharmacists medication consent 43 cases of reasonable, 8 cases of unreasonable; among 165 eases with these drugs by prescribing physicians out of 13 patients belonging to the prescribing physician not required to leapfrog to use. Conclusion： Strengthening Hospital ＂special use＂ class of antibiotics use management, able to control the rate of increase in bacterial resistance, while guard to prevent the emergence of multidrug-resistant ＂superbugs＂ appears, worthy of clinical application.

关 键 词：特殊使用 抗菌药物 分析 

分 类 号：R978.1[医药卫生—药品]