论文部分内容阅读
目的:调查我院门诊患者抗菌药物的使用情况,评价其用药的合理性,促进抗菌药物的合理应用,对下一步制定相应的考核目标提供依据。方法:按照等距随机抽样方法,抽取我院2015年1~12月每月某日门诊处方,对使用抗菌药物的处方进行逐一审查,并对不合理使用抗菌药物处方进行统计分析。结果:共抽查1081张处方,其中抗菌药物处方142张,抗菌药物使用比例为13.1%;不合理使用抗菌药物处方50张,占抗菌药物处方总数的35.2%,其中抗菌药物的静脉滴注89张,占比为62.7%。以无指征用药、适宜症不适宜以及用法用量不适宜为主。结论:我院门诊患者抗菌药物使用率较低,符合国家的相关要求。但是在使用了抗菌药物的处方中,不合理率较高,特别是门诊静脉滴注使用率较高,因此还应进一步加强抗菌药物合理使用的监管,提高抗菌治疗水平。
OBJECTIVE: To investigate the use of antimicrobials in outpatients in our hospital, evaluate the rationality of its use, promote the rational use of antimicrobial agents and provide the basis for making the corresponding assessment targets in the next step. Methods: According to the method of isometric random sampling, monthly outpatient prescriptions in our hospital from January to December in 2015 were collected. The prescriptions for antimicrobial agents were examined one by one. The prescriptions of antimicrobial agents were statistically analyzed. Results: A total of 1081 prescriptions were randomly selected, among which 142 prescriptions of antibiotics were used, and the proportion of antibacterials used was 13.1%. Fifty unreasonable antibacterials prescriptions were used, accounting for 35.2% of the total number of antibacterials prescriptions, of which 89 were antibiotics , Accounting for 62.7%. In the absence of indications for medication, inappropriate symptoms and inappropriate usage-based. Conclusion: The usage of antibacterials in outpatients in our hospital is low, which is in line with the relevant requirements of the country. However, the use of antimicrobial drugs in the prescription, a higher rate of unreasonable, especially the high rate of out-patient intravenous drip, it should also be further strengthened the rational use of anti-bacterial drugs to improve the level of antimicrobial treatment.