摘要
目的:了解青岛市第五人民医院(以下简称"我院")门诊抗菌药物应用现状及不合理用药的原因,促进临床合理用药。方法:随机抽取我院2015年7月—2016年12月处方12 789张,对其中抗菌药物处方的一般情况、抗菌药物类别、联合用药及不合理处方类型进行分析。结果:抗菌药物处方898张(占抽查总处方数的7.02%),处方平均金额为174.27元,处方平均用药品种数为2.99种,国家基本药物使用率为53.84%,无医师越级使用抗菌药物情况。我院门诊应用的抗菌药物以氟喹诺酮类最为常见,其次为β-内酰胺类和硝基咪唑类。单一用药处方699张(占77.84%),二联用药处方195张(占21.71%),三联用药处方4张(占0.45%)。不合理用药处方90张(占10.02%),主要包括给药频次不合理、无指征用药、给药剂量不合理、处方书写不规范、联合用药不合理和存在用药禁忌证等。结论:我院门诊抗菌药物使用基本合理,但仍存在一定问题,应进一步加强对抗菌药物的管理,加强培训和学习,并加强医药合作,促进临床合理用药。
OBJECTIVE： To investigate the application status of antibiotics and causes of irrational drug application in outpatient of Qingdao the Fifth People＇s Hospital（ hereinafter referred to as ＂our hospital＂）,so as to promote the rational drug application in clinic. METHODS： 12 789 prescriptions from Jul. 2015 to Dec. 2016 were randomly extracted in our hospital. Statistical analysis was conducted on the general data and types of antibiotics,drug combination and irrational types of prescriptions. RESULTS： 898 cases（ accounting for 7. 02% of the total number of spot checks） were antibiotics prescriptions,the average consumption sum of per prescription was 174. 27 yuan,the categories of drugs were 2. 99 and the application rate of national essential drugs was 53. 84%; there was no overstepped application of antibiotics. The most common used antibiotics in outpatient of our hospital were fluoroquinolone, followed by β-lactam and nitroimidazole. There were 699 cases（ 77. 84%） of single-drug prescriptions, 195 cases（ 21. 71%） of combined-drug prescriptions and 4 cases（ 0. 45%） of three-drug prescriptions. Prescriptions with irrational drug application were 90 prescriptions（ 10. 02%）. The irrational types mainly performed as irrational dosing frequency,without indications,improper administration dosage,nonstandard writing of prescriptions,irrational drug combination and contraindication,etc. CONCLUSIONS： The application of antibiotics in outpatient of our hospital is basically rational,yet there are still some problems. It is necessary to further strengthen the management on antibiotics,strengthen the training and learning,improve the cooperation between clinicians and pharmacists,so as to promote the rational drug use in clinic.
出处
《中国医院用药评价与分析》
2017年第11期1580-1581,1584,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
门诊处方
抗菌药物
应用情况
不合理应用分析
Outpatient prescriptions
Antibiotics
Application status
Analysis on irrational application
