医院门、急诊抗菌药物处方点评与分析  

Review and Analysis of Prescription of Antibiotics in Outpatient and Emergency Department of a Hospital

作　　者：钟明镜[1] 冯文涛[1] 彭文绣 李璇[3] Zhong Mingjing Feng Wentao Peng Wenxiu Li Xuan(Department of Pharmacy, The Fifth Hospital of Sichuan Province, Chengdu, Sichuan, China 610031 Department of Pharmacy, Peking Union Medical College Hospital, Beifing, China 100730 Department of Outpatient, Armored Corps Engineering College of PLA, Beijing, China 100072)

机构地区：[1]四川省第五人民医院药剂科,四川成都610031 [2]北京协和医院药剂科,北京100730 [3]中国人民解放军装甲兵工程学院门诊部,北京100072

出　　处：《中国药业》2017年第11期89-92,共4页China Pharmaceuticals

摘　　要：目的点评分析抗菌药物处方,促进医院门、急诊抗菌药物的合理使用。方法回顾性分析2016年1月至10月随机抽取的门、急诊抗菌药物处方共2 599张进行汇总和分类讨论。结果 2 599张处方中,不合理处方564张,占21.70%;不合理处方中,遴选药品不适宜166张,占29.43%;无抗菌药物使用指征150张,占26.60%;用法用量不合理130张,占23.05%;重复用药80张,占14.18%;联用不合理22张,占3.90%;其他16张,占2.84%。结论医院门、急诊抗菌药物不合理使用比例仍然较高,应从多个方面加强管理。同时,处方点评工作应坚持开展,通过医师、药师、护士及医院各管理部门的通力协作,促进抗菌药物合理使用。Objective To promote the rational use of antibacterial drugs in the outpatient and emergency department of the hospital by reviewing and analyzing the antibacterial drugs prescription. Methods The retrospective analysis was conducted to summarize and discuss the 2 599 prescriptions of antibiotics in outpatient and emergency departments from January to October in 2016. Results In the 2 599 outpatient and emergency antibacterial drugs prescriptions, the number of unreasonable prescription was 564, accounting for 21. 70 %,among the unreasonable prescriptions, the precriptions of inappropriate selection of drugs were 166,accounting for 29. 43 %,non-use indication of antibacterial drugs was 150, accounting for 26. 60 %, unreasonable medication method and dosage were 130, accounting for 23. 05 %,repeat medication were 80,accounting for 14. 18 %,irrational use of drug combination were 22, accounting for 3. 90 %,others were 16,accounting for 2. 84%. Conclusion The unreasonable use proportion of antibacterial drugs in the outpatient and emergency department of the hospital is still high, management of several aspects should be strengthened. At the same time, the prescription review work should be carried out,and through the collaboration of doctors,pharmacists,nurses and hospital management departments to promote rational use of antimicrobial drugs.

关 键 词：抗菌药物 处方点评 合理用药 

分 类 号：R969.3[医药卫生—药理学] R951[医药卫生—药学]