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目的:分析上海市某社区卫生服务中心门诊抗菌药物注射剂应用情况,为临床合理用药提供参考。方法:采用Excel 2003版软件对该中心2007年—2009年3年间各类抗菌药物的注射剂的销售金额、用药频度等进行统计分析。结果:各类抗菌药物注射剂销售金额每年以12%增长,其中头孢菌素类的消耗金额连续3年位居各类抗菌药物之首,喹诺酮类位居第二,林可酰胺类和与β-内酰胺类抗菌药物配伍的复方制剂消耗金额和比例均有较大幅度波动,青霉素类消耗金额有下降趋势,大环内酯类和氨基糖苷类位于第六、第七,金额也呈下降趋势。结论:该中心抗菌药物注射剂的应用情况具有不合理性,应加强用药前药敏检测并加强干预与监管。
Objective: To analyze the application situation of outpatient antibacterial injection in a community health service center in Shanghai, and to provide a reference for clinical rational drug use. Methods: Excel 2003 software was used to make a statistical analysis on the sales amount, the frequency of medication and so on of all kinds of antibiotics in the center from 2007 to 2009. Results: The sales amount of all kinds of antibiotics injection increased by 12% every year, the consumption amount of cephalosporins ranked the first among all kinds of antibacterials for three consecutive years, the quinolones ranked the second, lincosamides and β- The consumption amount and proportion of compound preparations with lactam antibiotics compatibility fluctuated greatly, the consumption of penicillins decreased, the macrolides and aminoglycosides were in the sixth and seventh, and the amount also showed a downward trend. Conclusion: The application of antimicrobial injections in this center is unreasonable. The drug sensitivity test should be strengthened and the intervention and supervision should be strengthened.