某院门诊抗菌药物合理使用与药师干预效果的分析  

Analysis of Rational Medication of Antimicrobial Drugs and Pharmacists Intervention in Out-patiens of A Hospital

作　　者：吴君[1] 章超[1] 胡春霞[1] 冯立娅 曹军[1] 查红群 查树清[1] 王乐[1] 

机构地区：[1]九江市第一人民医院,江西九江332000

出　　处：《抗感染药学》2015年第5期658-660,共3页Anti-infection Pharmacy

摘　　要：目的:分析门诊不合理用药处方、抗菌药物的使用和抗菌药物处方点评,为医院临床合理用药提供参考。方法:抽取2014年度门诊处方391 043张,干预处方5 249张;其中抗菌药物处方为5 100张,按《处方管理办法》、《抗菌药物临床应用指导原则》等为依据和标准,点评不合理处方和分析药师干预的效果。结果:不合理处方为384张,其不合格率为7.52%;第一季度不合理处方率为2.96%,药师干预后第二季度不合格率为1.98%,第三季度不合格率为1.55%,第四季度不合格率为1.03%。结论:药师干预门诊抗菌药物合理使用成效较为显著,处方合格率得到明显提高。Objective： To analyze the intervention of pharmacists in unreasonable prescriptions, outpatient use of antimicrobial drugs and antimicrobial prescription comment and to provide a reference for clinical rational drug use. Methods： 391 043 prescriptions of outpatient in 2014 were chosen. Intervened by 5 249 prescription and among them, the antimicrobial prescriptions were 5 100. According to the ＂Prescription Management Method＂and＂Clinical Application of Antibacterial Drugs Guiding Principles＂as the basis and standard. Comment on unreasonable prescription and the pharmacists intervention effect was analyzed. Results： Of all the prescriptions reviewed, 384 prescriptions of antibacterial drugs were irrational and its unrational rate was 7.52%. In the first quarter of the year the unreasonable prescription was 2.96%. In the second quarter of the year after pharmacists intervention the unreasonable prescription was 1.98%, and in the third quarter and fourth quarter were 1.55% and 1.03%, respectively. Conclusion： Pharmacists intervention effect for clinic rational use of antimicrobial drugs is significant and the prescription rational rate is obviously improved.

关 键 词：药师干预 抗菌药物 合理用药 

分 类 号：R969.3[医药卫生—药理学]