医院住院抗菌药物专项点评结果  

Analysis of Special Prescription Comments on Antibacterial Agents in Hospitalization

作　　者：余娜[1] 余文惠 YUNa;YU Wen-Hui(Hui Ya Hospital of the First Afiliated Hospital b/Sun Yal-sen University,Huizhou 516081,China)

机构地区：[1]惠州市中大惠亚医院(中山大学附属第一医院惠亚医院),广东惠州516081

出　　处：《中国药物经济学》2020年第6期52-56,共5页China Journal of Pharmaceutical Economics

基　　金：惠州市科技计划项目(20190402154570478)。

摘　　要：目的探讨医院住院抗菌药物使用情况,评价抗菌药物专项点评效果,为进一步规范临床用药提供参考。方法随机抽取惠州市中大惠亚医院2019年1—9月住院抗菌药物使用病历共306份进行医嘱的适宜性点评,并分析住院抗菌药物使用的合理性。结果经过专项点评整治,抗菌药物使用强度由41.39 DDDs下降为35.96 DDDs,抗菌药物医嘱点评的合格率由83.95%上升至89.89%;共有36份不合理病历,主要包括用药时间过长、给药剂量不适宜、药品品种选择不适宜以及联合用药不适宜等。结论临床药师与医师共同参与抗菌药物专项点评干预,能够更加快速有效地发现和解决抗菌药物不合理使用的问题,可促进医院抗菌药物合理使用。Objective To explore the application of antibacterial agents in hospitalization, to evaluate the effects of special comments on antibiotics, and to provide references for clinical drug use. Methods A total of 306 medical records of utilization of antibacterial drugs in Hui Ya Hospital of the First Affiliated Hospital of Sun Yat-sen University from January to September 2019 were randomly selected to comment on the suitability of medical orders. The rationality of the use of antibacterial drugs in hospital was analyzed. Results After special prescription comment regulation, the antimicrobial use density declined from 41.39 DDDs to35.96 DDDs, eligibility rate of antimicrobial medical order reviews increased from 83.95% to 89.89%. There were 36 medical unreasonable records, including excessively long-term medication, inappropriate usage and dosage, improper selection and combination of drugs. Conclusion Through the joint participation of clinical pharmacists and doctors in the special comments on antibiotics, the problems of unreasonable use of antimicrobials can be spotted and solved more quickly and effectively, which can promote the rational use of antimicrobials.

关 键 词：抗菌药物 专项点评 住院医嘱 合理用药 

分 类 号：R978.1[医药卫生—药品]