某皮肤病性病防治所门诊抗菌药物处方的点评分析  

Review and Analysis of Antibacterial Drug Prescriptions of Outpatients in a Dermatology and Venereal Disease Prevention Center

作　　者：王爱春 WANG Ai-chun(Dermatology and Venereal Disease Prevention Center of Hengfeng County,Hengfeng Jiangxi 334300,China)

机构地区：[1]横峰县皮肤病性病防治所,江西横峰334300

出　　处：《抗感染药学》2023年第4期376-379,共4页Anti-infection Pharmacy

摘　　要：目的:点评门诊抗菌药物处方的合理用药情况,为下一步门诊抗菌药物的规范使用提供参考。方法:选取2021年1月—2022年6月横峰县皮肤病性病防治所的门诊抗菌药物处方400张,统计相关患者的年龄、性别、疾病类型和抗菌药物类别,依据《处方管理办法》、《医院处方点评管理规范》、药品说明书和相关指南共识,分析处方的不合理原因。结果:400张处方涉及患者400例,其中女性略多于男性(57例vs 43例),年龄上以>30~45岁的数量为最多(102例,占25.50%);400张抗菌药物处方的诊断主要为梅毒(93张,占23.25%)、细菌性皮肤病(84张,占21.00%)和真菌性皮肤病(75张,占18.75%),而其主要用到的抗菌药物则为青霉素类(189张,占47.25%)和头孢菌素类(175张,占43.75%);处方点评结果显示,400张处方中存在不合理处方22张(占5.50%),而其主要的原因则为选药不合理、用法用量不当和未使用药物通用名。结论:医院门诊的抗菌药物使用整体较为合理,但仍存在一些不合理使用的现象,临床应对加强相关培训和管理,切实提高医生的抗菌药物使用水平,保障患者用药的安全、合理和疗效。Objective:To review the rational use of antibacterial drug prescriptions in outpatient clinics,and provide reference for the subsequent standardized use of antibacterial drugs in outpatient clinics.Methods:400 antibacterial drug prescriptions of outpatients were selected from Dermatology and Venereal Disease Prevention Center of Hengfeng County from January 2021 to June 2022,and the age,gender,disease type and type of antibacterial drugs of related patients were summarized,and the reasons for irrational prescriptions were analyzed according to Administrative Policy of Prescriptions,Management Standards of Hospital Prescription Review,package inserts of drugs,and related guidelines and consensus.Results:The 400 prescriptions involved 400 patients,of which the number of women was slightly more than men(57 cases vs 43 cases),and the patients aged over 30-45 years old accounted for the most(102 cases,25.50%);according to the 400 antibacterial drug prescriptions,the main diagnosed diseases were syphilis(93,23.25%),bacterial skin diseases(84,21.00%)and fungal skin diseases(75,18.75%),and the main antibacterial drugs used were penicillins(189,47.25%)and cephalosporins(175,43.75%).The results of prescription reviews showed that 22 of the 400 prescriptions were irrational(5.50%),and the main reasons included irrational drug selection,improper usage and dosage,and no generic name of drugs.Conclusion:The overall use of antibacterial drugs in outpatient clinics in the hospital is relatively rational,but there are still some irrational uses.Clinically,it is necessary to strengthen relevant training and management,effectively improve the level of physicians'use of antibacterial drugs,and ensure the medication safety,rationality and efficacy of patients.

关 键 词：门诊 抗菌药物 处方点评 合理用药 

分 类 号：R969.3[医药卫生—药理学]