医院门诊抗菌药处方点评及合理用药情况分析  

Comment on the prescription of antibiotics and analysis of rational drug use in hospital outpatient department

作　　者：张琴[1] ZHANG Qin(Affiliated Hospital of Jiangsu University,Jiangsu Province,Zhenjiang 212001,China)

机构地区：[1]江苏大学附属医院,江苏省镇江市212001

出　　处：《临床合理用药杂志》2022年第20期12-14,18,共4页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的 对医院门诊开具的20 152份抗菌药处方进行点评,归纳不合理用药情况,提出预防改进方法。方法 回顾性分析2020年1—12月江苏大学附属医院门诊开具的抗菌药处方20 152份。依据《处方管理标准》与《中国药典》以及药品使用说明书等,利用Excel表格对抗菌药处方点评结果进行归纳总结,内容包括开具科室、诊断、药物名称、数量、给药途径、频率、存在问题等。从中筛选不合理用药处方,分析存在的问题,具体内容包括各科室抗菌药处方使用情况、临床常用抗菌药物种类及常见的不合理用药类型,同时提出具针对性的改进建议。结果 开具抗菌药处方最多的科室包括儿科、泌尿科、呼吸科、耳鼻喉科。临床常用抗菌药物包括阿奇霉素、罗红霉素、头孢菌素类、万古霉素。筛选出抗菌药物应用不合理处方共计1 581份,不合理处方占总处方量百分比为7.85%,常见不合理用药类型包括用药频次不适宜、诊断不明、无指征用药、适应证不适宜及用药禁忌。结论 医院筛选出抗菌药物使用不合理率为7.85%,临床应予以重视并积极改进,以确保患者用药安全。Objective This paper comments on 20 152 prescriptions of antibiotics issued by the outpatient department of the hospital,summarizes the unreasonable use of drugs,and puts forward the prevention and improvement methods.Methods A retrospective analysis was made of 20 152 prescriptions of antibiotics issued by the outpatient department of the Affiliated Hospital of Jiangsu University from January to December 2020. According to the prescription management standard,Chinese Pharmacopoeia and drug instructions,the evaluation results of antimicrobial prescription are summarized by Excel,including issuing department,diagnosis,drug name,quantity,administration route,frequency,existing problems,etc. To screen the irrational drug use prescriptions,analyze the existing problems,including the use of antibiotics prescriptions in various departments,the types of commonly used antibiotics and the common types of irrational drug use,and put forward targeted improvement suggestions. Results The departments with the most prescriptions for antibiotics include Pediatrics,Urology,Respiratory department and Otorhinolaryngology. Clinical commonly used antibiotics include azithromycin,roxithromycin,cephalosporins and vancomycin. A total of 1 581 irrational prescriptions were screened out,and the percentage of irrational prescriptions in the total prescriptions was 7. 85%. The common types of irrational drug use include inappropriate drug frequency,unclear diagnosis,medication without indication,inappropriate indications and contraindications. Conclusion The hospital screened 1 581 unreasonable prescriptions for antibiotics,and the probability of unreasonable prescriptions was7. 85%. Clinical attention should be paid to and actively improved to ensure the safety of drug use.

关 键 词：抗菌药物 门诊处方点评 合理用药 

分 类 号：R95[医药卫生—药学]