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目的:分析江苏大学附属医院门诊抗菌药物临床应用情况,促进抗菌药物的合理使用。方法:调取该医院2012年9月24日全天处方3 124张,其中抗菌药物处方518张,按《抗菌药物临床用药指导原则》、《处方点评规范》和药品说明书,对抗菌药物的应用情况进行分析。结果:抗菌药物的使用率为16.58%;抗菌药物的使用金额占总药品的金额的比例为20.75%;联用抗菌药物的处方比例为18.73%;不合理使用抗菌药物处方比例为22.00%。结论:抗菌药物的使用情况基本合理,但仍存在不合理的情况,还需加强对临床医师抗菌药物使用的培训,进一步提高合理用药水平。
Objective: To analyze the clinic application of outpatient antimicrobial agents in Jiangsu University Affiliated Hospital and to promote the rational use of antimicrobial agents. Methods: The hospital received 2434 prescriptions on 24 September 2012, including 518 prescriptions for antimicrobial agents. The application of antibacterials was conducted according to the Guiding Principles for Clinical Drug Use of Antibacterials, the Criteria for the Evaluation of Prescriptions, and the drug specification Situation analysis. Results: The usage rate of antibacterials was 16.58%. The amount of antibacterials used was 20.75% of the total amount of drugs. The prescription proportion of antibacterials was 18.73%. The proportion of antibacterials was 22.00%. Conclusion: The use of antibacterials is basically reasonable, but there are still unreasonable situations. Training on the use of antibacterials by clinicians needs to be strengthened to further improve the rational use of antibacterials.