2014年天津市人民医院门急诊抗菌药物处方分析  

Analysis on usage of antibacterials in Department of Outpatient and Emergency of Tianjin People's Hospital in 2014

作　　者：周存霞[1] 贾宏军[1] 侯超[1] 

机构地区：[1]天津市人民医院药学部,天津300121

出　　处：《现代药物与临床》2015年第11期1413-1416,共4页Drugs & Clinic

摘　　要：目的：分析天津市人民医院门急诊抗菌药物的使用情况，为临床合理用药提供参考依据。方法采用回顾性分析方法，对天津市人民医院2014年1—12月门急诊抗菌药物处方数据进行汇总分析。结果抗菌药物处方218048张，抗菌药物使用率为14.12%；急诊内科抗菌药物处方数量最多，就诊患者最多的年龄段是50～80岁；使用抗菌药物最多的疾病是呼吸道感染，肺炎居首位；口服是门急诊抗菌药物的主要给药途径；使用一种抗菌药物占总数的87.6%；用药频度（DDDs）最高的是克拉霉素片；点评处方30851张，不合理率为8.6%。结论2014年门急诊抗菌药物的应用基本合理，但存在不合理用药现象，应持续加强合理用药培训和监管。Objective To investigate the utilization of usage of antibacterials in Department of Outpatient and Emergency of Tianjin People’s Hospital, so as to provide reference basis for the rational use of drugs.MethodsData ofantibacterial prescriptions in Department of Outpatient and Emergency of Tianjin People’s Hospital from January to December in 2014 were analyzed retrospectively. Results Antibacterial prescriptions （218 048 pieces） were collected. The usage rate of antibacterials was 14.12%. Department of Emergency occupied the maximum number of antibacterial prescriptions, and the ages of most patients were 50 to 80 years old. The diseases using most antimicrobials were respiratory infections, and pneumonia was taking the first place. Oral administration was the predominant route of antibacterials. The amount of antibacterials used alone accounted for 87.6% of all the prescriptions. Frequency of drug use （DDDs） of Clarithromycin Tablets ranked the first. The amounts of antibacterial prescription comments were 30 851 pieces, and the irrational ratio accounted for 8.6%.Conclusion The use of antibacterials in Department of Outpatient and Emergency is reasonable on the whole, but there is still irrational drug use, which should be strengthened and continuously improved.

关 键 词：抗菌药物 合理用药 处方分析 

分 类 号：R978.1[医药卫生—药品]