摘要
目的:评价我院实施抗菌药物专项整治的效果。方法:对我院2011年整治前、后的门诊抗菌药物处方进行点评,并对抗菌药物的应用情况进行统计、分析。结果:全年33个科室总处方数达754133张,有29个科室应用抗菌药物,处方数为151864张,占20.14%。其中,整治前53254张,整治后98610张,按照5:1的比例抽取得到整治前12100张,整治后24402张,共36502张。整治前、后不合理处方分别有2024、2690张,占抽查处方数的4.22%、2.80%;不合理抗菌药物处方占抽查处方数的比例分别为16.73%、11.02%,降低了5.71%;联合用药不适宜处方占抽查处方数的比例分别为4.74%、2.75%,降低了1.99%。二联用药处方整治前有90张(占4.45%),整治后有74张(占2.75%),三联用药处方整治前有6张(占0.30%),整治后为0。整治后抗菌药物处方占总处方数比例降低了2.39%,销售金额比例降低了5.38%,注射剂金额比例降低了9.91%,DDDs比例降低了2.63%,日均费用降低了17.90元/日。结论:通过采取专项整治措施,我院门诊抗菌药物应用的各项指标得到了明显改善,但也存在一些问题,如不按药品说明书适应证用药、用法用量不适宜等,应继续加强其临床应用监管。
OBJECTIVE： To evaluate the effect of antibacterial special rectification in our hospital. METHODS： Antibacterial outpatient prescriptions of our hospital in 2011 were commented before and after special rectification, and the utilization of antibac- terial was analyzed statistically. RESULTS： Of total 754 133 prescriptions in 33 departments in the whole year, 29 departments used 151 864 antibacterial prescriptions, accounting for 20.14%. They were 53 254 prescriptions before rectification and 98 610 pre- scriptions after rectification. Based on ratio of 5：1, 12 100 prescriptions before rectification and 24 402 prescriptions after rectifica- tion were collected, total of 36 502 prescriptions. There were 2 024 irrational prescriptions before rectification and 2 690 after recti- fication, accounting for 4.22% and 2.80 of total number of prescriptions. The proportions of irrational antibacterial prescription were 16.73% and 11.02%, decreasing by 5.71% ; the proportions of irrational prescription of drug combination were 4.74% and 2.75 %, decreasing by 1.99 %. There were 90 tow-drug prescriptions before rectification （4.45 % ） and 74 after rectification （2.75 % ） ; there were 6 three-drug prescriptions before rectification （0.30%） and none of them after rectification. The proportion antibacterial prescription in total number of prescription decreased by 2.39%, and that of drug cost decreased by 5.38%, that of injection cost decreased by 9.91%. The ratio of DDDs reduced by 2.63% and DDC reduced by 17.90 yuan per day. CONCLUSION： Antibacteri- al use in outpatient department of our hospital has been improved significantly after special rectification. There still are some prob- lems, such as medication going against indication and unsuitable usage and dosage, etc. So the supervision of clinical application should be strengthened.
出处
《中国药房》
CAS
CSCD
2012年第38期3578-3581,共4页
China Pharmacy
关键词
抗菌药物
处方点评
专项整治
用药频度
门诊
Antibacterial
Prescription comment
Special rectification
DDDs
Outpatient department
