医院门诊处方抗菌药物临床使用分析  

Clinical use of antimicrobial agents from outpatient prescription

作　　者：王瑞霞[1] 安培华 薛德冬[1] 高玉霞[1] 肖卫东[1] 

机构地区：[1]胜利石油管理局胜利医院药剂科,山东东营257055

出　　处：《中华医院感染学杂志》2016年第15期3580-3581,3584,共3页Chinese Journal of Nosocomiology

基　　金：山东省卫生厅基金资助项目(SW-2009B109)

摘　　要：目的分析医院门诊处方抗菌药物临床使用情况,发现抗菌药物临床使用过程中的问题,提高临床合理用药。方法随机抽取2013年1-12月医院门诊处方共6 000份,对抗菌药物的应用的比率、种类、联合用药、给药途径和用药目的进行分析,数据采用SPSS 17.0软件进行统计分析。结果 6 000份处方中抗菌药物处方有3485份,占58.08%;以单一用药为主,共2 485份占70.53%;给药方式以口服给药为主,共1 986份占56.99%;用药目的以预防用药为主,共2 258份占64.80%;给药种类以头孢菌素类抗菌药物为主,共2 026份占58.13%。结论医院抗菌药物的临床应用占比较高、联合用药不当、给药途径不合理及药物选择欠佳等问题,应继续加强抗菌药物的使用管理。OBJECTIVE To analyze the clinical use of antimicrobial agents in our hospital outpatient prescription,and find the problems in the clinical use of antimicrobial agents,so as to improve clinical rational drug use.METHODS A total of 6000 prescriptions were collected randomly from Jan.to Dec.2013 from our hospital outpatient clinics.The proportion of application of antimicrobial agents,kinds of drugs,combination medication administration route,purpose of drug use were analyzed.Data were analyzed by SPSS 17.0.RESULTS There were 3485 prescriptions with antimicrobial agents,accounting for 58.08%,mainly with single drug,2485 cases,accounting for 70.53%.Method of administration was mainly in oral,totally 1986 cases,accounting for 56.99%.Totally2256 prescriptions were used for prevention,accounting for 64.80%.The category mainly was cephalosporins antimicrobial agents,totally 2026 cases,accounting for 58.13%.CONCLUSIONThe problems like high proportion of antibacterial drugs in clinical application,improper combination medication,unreasonable administration route and poor drug selection exist in our hospital.We should continue to strengthen the management of the use of antimicrobial agents.

关 键 词：抗菌药物 合理用药 联合用药 头孢菌素类 

分 类 号：R978.1[医药卫生—药品]