2400张急诊患者抗菌药物处方用药的相关因素分析  

Analysis on Related Factors of Antimicrobial Medication in 2400 Prescriptions of Emergency Out-Patients

作　　者：张瑞香[1] 徐宁路[1] 

机构地区：[1]武汉科技大学附属天佑医院,武汉430064

出　　处：《抗感染药学》2017年第3期514-517,共4页Anti-infection Pharmacy

摘　　要：目的:分析急诊患者抗菌药物使用的相关因素,为临床合理用药提供参考。方法:抽取急诊科2016年1—12月份间门诊处方,每月200张,计2 400张,采用限定日剂量法分析其使用率、联用情况、不合理用药情况以及DDDs值。结果:抽查的2 400张急诊处方抗菌药物使用率为39.16%,其中单用处方有834张,抗菌药物联合使用率为11.28%,头孢菌素尤其第2代头孢菌素的使用最为频繁,联合用药以单联为主,其余大多为二联,不合理用药主要为用药无指征、药物选择不合理和联合用药不合理。结论:医院急诊处方抗菌药物的使用率符合标准,但仍存在不合理用药现象,需继续干预管理,促进合理用药。Objective：To analyze the related factors of antimicrobial medication in 2400 prescriptions of emergency out-patients, and to provide a reference for the clinical use of drugs. Methods：Extracting the emergency out-pat!ents prescription from Jan. to Dec. in 2016, every month 200, total 2 400, using the method of defined daily dose analysis, to analyze the usage rate, combination with other drugs, irrational drug use and DDDs value. Results： There were 2 400 emergency out-patients prescriptions, the antibacterial drug use rate was 39.16%, among the antibacterial drug prescrip- tions, 834 of them contained single agent, 11.28% of them contained two or more.cephalosporins, especially the second- generation cephalosporins were used most frequently. The combination mainly contained one drug. The rest mostly con- tained two. The main irrational drug uses were without indication for the medication, drug choice was unreasonable and drug combination was also unreasonable. Conclusion： The using frequency of antibacterial drugs in the hospital emer- gency out-patients prescriptions was up to standard, but it presented some unreasonable phenomenon; it needed contin- ued intervention management, promoting the rational use of antimicrobial drugs.

关 键 词：抗菌药物 急诊处方分析 合理用药 

分 类 号：R969.3[医药卫生—药理学]