2007-2011年门诊患者抗菌药物应用分析  

Use of antibiotics by patients in outpatient department from 2007 to 2011

作　　者：罗彪峰[1] 

机构地区：[1]桂林医学院附属医院感染管理科,广西桂林541001

出　　处：《中华医院感染学杂志》2014年第21期5253-5254,5263,共3页Chinese Journal of Nosocomiology

基　　金：广西壮族自治区卫生厅科研基金资助项目(Z2008298)

摘　　要：目的了解2007-2011年医院门诊抗菌药物使用情况,进一步规范抗菌药物使用的合理性,降低细菌耐药风险,为门诊合理用药提供参考依据。方法回顾性分析2007-2011年门诊患者抗菌药物使用监测结果。结果 2007-2011年门诊抗菌药物使用率分别为34.78%、31.67%、33.03%、33.98%、36.53%,其中儿科门诊抗菌药物使用率最高;抗菌药物联合用药率分别为7.69%、7.31%、5.90%、5.91%、5.11%;静脉用药率分别为29.90%、29.40%、32.48%、30.22%、31.35%;不合理主要表现在无指征用药、围术期不合理用药、用药剂量不合理、联合用药不合理等。结论医院门诊抗菌药物使用不合理现象仍普遍存在,抗菌药物合理应用水平有待提高。OBJECTIVE To realize the condition of the use of antibiotics of outpatients from 2007 to 2012 and further standardize the use of antibiotics so as to reduce the risk of bacterial resistance and provide basis for the rational use of antibiotics .METHODS The monitoring results of the use of antibiotics of the outpatients from 2007 to 2011 were retrospectively analyzed .RESULTS The utilization rates of antibiotics in the outpatient department were respectively 34 .78% ,31 .67% ,33 .03% ,and 33 .98% from 2007 to 2011 ,which was the highest in the pediatrics department ;the combination utilization rates of antibiotics were 7 .69% ,7 .31% ,5 .90% ,5 .91% ,and 5 .11% respectively ;the rates of intravenous drip were 29 .90% ,29 .40% ,32 .48% ,30 .22% ,and 31 .35%respectively .The irrational use of antibiotics mainly showed in the medication without indications ,unreasonable use of antibiotic during perioperative period ,inappropriate dose of antibiotics ,and irrational combined use of antibiotics .CONCLUSION There remains the unreasonable use of antibiotics in the outpatient department ,and the rational use of antibiotics needs to be improved .

关 键 词：门诊患者 抗菌药物 细菌耐药 合理用药 

分 类 号：R978.1[医药卫生—药品]