某医院2019~2022年抗菌药物临床不合理应用改进评价  

Evaluation on Improvement of Clinical Unreasonable Application of Antibiotics in a Hospital from 2019 to 2022

作　　者：陈剑锋 CHEN Jian-feng(Department of Pharmacy,Zhenggu Hospital of Quanzhou,Quanzhou 362000,China)

机构地区：[1]泉州市正骨医院药学部,福建泉州362000

出　　处：《海峡药学》2024年第4期96-98,共3页Strait Pharmaceutical Journal

摘　　要：目的 对抗菌药物临床不合理应用改进情况进行评价,为下一步改进提供参考。方法 从2019~2022年出院患者使用抗菌药物的病历中,每月等比分层随机抽取50或30份病历进行点评,分析不合理应用改进成效。结果 共抽取2180份病历,含抗菌药物医嘱4955条,其中不合理病历464份,合理率78.72%。不合理应用类型排名前三的分别是用药时间过长、切皮前>1 h给药和药物选择不适宜。围手术期给药时机不适宜、越级使用抗菌药物等情况明显改善,用药时间过长、药物选择不适宜、无用药指征等情况仍应进一步改进。结论 抗菌药物临床应用管理应定期分析、评估,及时干预,持续改进。OBJECTIVE To evaluated the improvement in the clinical irrational use of antimicrobial drugs,providing a reference for improvement.METHODS There were 30 or 50 discharge medical records of antibiotics per month from 2019 to 2022 for review,the improved effectiveness of unreasonable applications would be analyzed.RESULTS A total of 2180 medical records were sampled,containing 4955 antimicrobial medication orders,there were 464 unreasonable medical records,the pass rate was 78.72%.The top three types of irrational applications were prolonged use of drugs,administered>1 hour prior to skin incision and inappropriate choice of drugs.Inappropriate timing of perioperative drug administration,use of antimicrobials beyond grade haved been significantly improved,prolonged use of drugs,inappropriate choice of drugs,no indication of drug use should still be further improved.CONCLUSION The management of the clinical use of antimicrobial drugs should be analyzed and evaluated regularly,with timely intervention and continuous improvement.

关 键 词：抗菌药物 处方点评 合理用药 

分 类 号：R969[医药卫生—药理学]