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目的了解我院门诊抗生素不合理用药情况,分析原因以提高我院合理用药水平。方法抽取我院2013年7月至12月门诊使用抗生素处方17 514张,对不合理的用药处方进行统计分析。结果开处方未写临床诊断或临床诊断书写不全的1 896张,占抽查处方的53.2%,主要问题是单张急诊处方超过五种药品、医师未按照抗菌药物临床应用管理规定开具抗菌药物处方的。结论我院门诊抗菌药物处方用药合理是主流,但为了安全、合理、有效、经济的使用抗生素,需要医师和药师的共同努力,规范医师使用抗生素的诊疗行为,促进抗生素的合理使用。
Objective To understand the irrational use of antibiotics in our clinics and to analyze the reasons to improve the rational use of antibiotics in our hospital. Methods A total of 17 514 antibiotic prescriptions were collected from July 2013 to December 2013 in our hospital for statistical analysis of irrational prescriptions. Results A total of 1 896 prescriptions for clinical diagnosis or incomplete clinical diagnosis were written, accounting for 53.2% of the randomized prescriptions. The main problem was the prescription of more than five kinds of prescriptions in a single emergency and the doctors did not prescribe antibiotics according to the clinical application of antibiotics . Conclusions The rational use of antibiotics in our clinics is the mainstream. However, in order to use antibiotics in a safe, reasonable, effective and economical way, the joint efforts of physicians and pharmacists are required to standardize the clinicians’ use of antibiotics and promote the rational use of antibiotics.