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目的调查医院门诊输液患者输液使用抗菌药物的情况,为医院如何管理和合理使用抗菌药物提供参考。方法对医院门诊药房输液处方随机抽样1500张,统计出使用抗菌药物的处方,根据抗菌药物的类别、抗菌特点,用DDDs法评价抗菌药物的应用情况,以Excel表格进行分类统计。结果在1500张中,使用抗菌药物药的处方为65.8%;采用联合使用抗菌药物的处方占抗菌药物处方的26.95%;个别处方对药物选择起点高,联合用药过于普遍。结论医院门诊患者输液使用抗菌药物基本合理,但存在超适应证、联用不合理等现象,应加强干预管理。
Objective To investigate the use of antibacterials in transfusion of outpatients in outpatient clinics so as to provide reference for how to manage and rational use of antibacterials in hospitals. Methods A total of 1 500 prescriptions were collected from hospital outpatient pharmacy. Statistic prescriptions of antibacterials were used. According to the categories and antimicrobial characteristics of antibacterials, DDDs were used to evaluate the application of antibacterials. The results of 1,500 in the use of antibacterial drugs prescription was 65.8%; the use of antimicrobial drugs prescriptions accounted for 26.95% of prescription antibacterial drugs; individual prescription for drug selection starting point, the combination of drugs is too common. Conclusion The hospital outpatient infusion of antimicrobial drugs is basically reasonable, but there are indications of excess, combined with unreasonable phenomena should strengthen intervention management.