某三甲医院门急诊患者静脉使用抗菌药物调查  

Investigation on the Intravenous Use of Antibiotics in Outpatients and Emergency Department Patients in a Tertiary First-class Hospital

作　　者：邓明影[1] 史天陆[1] 孙言才[1] 刘琳琳[1] 张蕾[1] 张圣雨[1] 苏丹[1] 王崇薇[1] 姜玲[1] 

机构地区：[1]安徽医科大学附属省立医院药剂科,合肥230001

出　　处：《医药导报》2016年第4期411-414,共4页Herald of Medicine

基　　金：安徽省软科学研究计划项目(12020503083)

摘　　要：目的了解某三甲医院门急诊患者静脉使用抗菌药物现状,为制定干预管理措施提供依据。方法采用回顾性方法,通过医院信息系统提取该院2013年门急诊患者静脉使用抗菌药物数据,分别统计门急诊静脉使用抗菌药物品种、静脉使用抗菌药物处方比例、对消耗量及金额进行排序、按科室处方比例排序等内容,并统计2014年门急诊抗菌药物静脉使用情况作为对比。结果 2013年门诊、急诊患者静脉使用抗菌药物品种较多,分别涉及8类31种和8类30种抗菌药物,其中头孢菌素类是使用量最多抗菌药物,注射用头孢西丁钠等限制级抗菌药物消耗量较大,急诊静脉使用抗菌药物处方比例较高。结论与2013年相比,2014年干预后的情况初见成效,但仍需加强管理,使抗菌药物静脉使用更加安全、有效、经济。Objective To investigate status of the intravenous use of antibiotics in outpatients and emergency patients of a tertiary first-class hospital,and provide a reference for developing management measures in next step. Methods By a retrospective method,all the prescriptions using antibiotics by intravenous administration in outpatients and emergency department patients from a tertiary first-class hospital in 2013 were extracted from the hospital information system. The categories of antimicrobial agents,proportion of intravenous use of antimicrobial drugs,ranking of the antibiotic consumption sum and defined daily dose,and the top 10 clinical departments or wards intravenously using antimicrobial drugs were chosen to analyze. The data in 2014 were extracted as a comparison. Results Outpatients and emergency department patients respectively used 8 categories31 kinds and 8 categories 30 kinds of intravenous antimicrobial drugs,with high consumption of cephalosporins and restricted antimicrobials such as sodium cefoxitin.Intravenous use of antimicrobial drug prescription proportion in emergency department is higher than that in outpatient department. Conclusion After intervention in 2014,antibiotic consumption is effectively controlled as compared that in 2013. But management should be strengthened and appropriate interventions should be taken to ensure the use of intravenous antibiotics in a safe,effective and economical manner.

关 键 词：抗菌药物 静脉给药 门诊 急诊 

分 类 号：R978.1[医药卫生—药品] R969.3[医药卫生—药学]