1080份住院患者抗菌药物医嘱点评与分析  

Comments and analysis on 1080 inpatient clinical orders of antibacterial drugs

作　　者：卞婷婷 何心 席明名[2] BIAN Tingting;HE Xin;XI Mingming(Department of Pharmacy,Yangzhou Maternal and Child Health Care Hospital Affilated to Yangzhou University,Jiangsu Province,Yangzhou225000,China;Department of Pharmacy,Women's Hospital of Nanjing Medical University,Nanjing Women and Children's Healthcare Hospital,Jiangsu Province,Nanjing210004,China)

机构地区：[1]扬州大学医学院附属扬州妇幼保健院药学部,江苏扬州225000 [2]南京医科大学附属妇产医院,南京市妇幼保健院药学部,江苏南京210004

出　　处：《中国当代医药》2024年第27期143-146,共4页China Modern Medicine

摘　　要：目的分析抗菌药物医嘱中不合理用药情况,推动抗菌药物在临床使用的规范化。方法2023年,每月从各科室随机抽取出院病历10份进行点评,共计抽取病历1080份,对不合理医嘱类型进行分析。结果1080份出院病历中,共发现103份不合理用药医嘱,合理率为90.46%,不合理医嘱类型主要是无指征用药、遴选药物不适宜、用药疗程不适宜及联合用药不适宜等;不合理医嘱占比排名前三的科室分别是儿科(39份,占37.86%)、妇科(20份,占19.42%)、产科(16份,占15.53%);不合理使用排名前三的抗菌药物品种是头孢呋辛(29份,占28.16%)、头孢唑林(19份,占18.45%)、头孢美唑(9份,占8.74%)。结论实际工作中仍存在抗菌药物不合理使用现象,需加强抗菌药物临床应用管理,进一步提升抗菌药物合理应用水平。Objective To promote the standardization and rationalization of the clinical application of antibacterial drugs.Methods A total of 10 medical records were randomly selected from each department every month for comment in 2023.A total of 1080 medical records were selected this time.The types of irrational drug use were analyzed.Results In 1080 discharged medical records,103 patients were found to have irrational use of antibacterial drugs,with a reasonable rate of 90.46%.The main types of irrational use were insufficient evidence of using antibacterial drugs,inappropriate drug selection,inappropriate maintenance time of antibacterial drugs,inappropriate combination of antibacterial drugs and so on.The top three departments with the highest proportion of unreasonable medical orders were pediatrics(39,37.86%),gynaecology(20,19.42%)and obstetrics(16,15.53%).Unreasonable use of top three antibacterial drug varieties were Cefuroxime(29,28.16%),Ceftazolin(19,18.45%)and Cefomizole(9,8.74%).Conclusion Irrational use of antibiotecs still exists in our work,so as to strengthen the management of the clinical application of antibacterial drugs and further improve the level of rational application of antibacterial drugs.

关 键 词：抗菌药物 医嘱点评 合理用药 无指征用药 

分 类 号：R95[医药卫生—药学]