某院2021年不合理抗菌药物注射剂处方的临床特点分析  

Analysis of the Clinical Characteristics of Irrational Prescription of Antibacterial Injections in a Hospital in 2021

作　　者：杨美华 YANG Mei-hua(Anxi County Hospital,Quanzhou Fujian 362400,China)

机构地区：[1]安溪县医院,福建泉州362400

出　　处：《抗感染药学》2023年第4期380-383,共4页Anti-infection Pharmacy

摘　　要：目的:分析医院不合理抗菌药物注射剂处方的临床特点,为下一步抗菌药物的规范使用提供参考。方法:利用医院信息系统,随机抽取2021年1月—12月医院的抗菌药物注射剂处方2520张(每月210张),点评处方中抗菌药物的合理使用情况,分析不合理处方的时间和科室分布、不合理的原因类型,以及所涉及的抗菌药物品种。结果:2520张处方中,不合理处方为145张(占5.75%),其中上半年的不合理处方张数多于下半年(100张vs 45张);145张不合理处方中,来自呼吸与危重症医学科的处方最多(36张,占24.83%),其次为ICU(24张,占16.55%);主要的不合理情况是遴选药物不适宜(48张,占33.10%);不合理处方所涉的抗菌药物主要为β-内酰胺类抗菌药物,其中头孢菌素类抗菌药物的处方最多(37张,占25.51%)。结论:医院抗菌药物注射剂的使用仍有一定程度的不规范,全院需加强抗菌药物合理使用意识,积极开展抗菌药物注射剂使用专项点评。Objective:To analyze the clinical characteristics of irrational prescription of antibacterial injections in the hospital and provide reference for the subsequent standardized use of antibacterial drugs.Methods:2520 prescriptions(210 per month)of antibacterial injections of the hospital from January to December 2021 were randomly chosen by using the hospital information system,and the rational use of antibacterial drugs in the prescriptions was reviewed;the time and department distribution of irrational prescriptions,and the type of reasons for irrational prescriptions,as well as the types of involved antibacterial drugs were analyzed.Results:Among the 2520 prescriptions,145 were irrational(5.75%),and the number of irrational prescriptions in the first half of the year was more than that in the second half of the year(100 vs 45);among the 145 irrational prescriptions,the most prescriptions were from the Department of Respiratory and Critical Care Medicine(36,24.83%),followed by ICU(24,16.55%);the main irrational situation was that the selected drug was improper(48,33.10%).The antibacterial drugs involved in the irrational prescriptions were mainly beta-lactam antibacterial drugs,among which cephalosporin antibacterial drugs had the most prescriptions(37,25.51%).Conclusion:The use of antibacterial injections is still non-standardized to a certain extent in the hospital.It is necessary to strengthen the awareness of rational use of antibacterial drugs and actively carry out special reviews on the use of antibacterial injections in the whole hospital.

关 键 词：抗菌药物注射剂 处方点评 合理用药 临床特点 

分 类 号：R969.3[医药卫生—药理学]