论文部分内容阅读
目的:了解我院门诊处方及住院医嘱抗菌药物的应用情况,为临床合理用药提供依据。方法:对2012年我院门诊处方及住院医嘱基本情况以及抗菌药物的使用情况采用Excel进行数据统计分析,以抗菌药物使用类别及品种排序为指标对我院门诊及住院患者抗菌药物使用情况进行全面评价。结果:2012年我院门诊各季度抗菌药物的使用率在9.15%~11.37%之间,全年抗菌药物使用率为10.24%,抗菌药物处方平均品种数为1.24,抗菌药物联合用药占处方比例为21.37%,各季度基本持衡,我院门诊患者使用抗菌药物以口服为主。病区抗菌药物使用频率和使用强度皆为40%左右;住院患者使用抗菌药物以注射剂为主,主要用于外科手术预防用药。结论:我院门诊处方及病区医嘱抗菌药物应用基本合理,但存在抗菌药物使用中治疗方案不合理及无指征使用抗菌药物等问题。医院应加强医院药学建设,充分发挥医院临床药师的监测、监督与协助作用,促进临床科学、合理地使用抗菌药物。
OBJECTIVE: To understand the application of antibacterials in outpatient prescriptions and inpatient orders in our hospital to provide basis for clinical rational drug use. Methods: The statistical analysis of the basic situation of outpatient prescriptions and inpatient orders in 2012 and the use of antibacterials in our hospital were conducted by using Excel. The antimicrobial use status of outpatients and inpatients in our hospital was comprehensively evaluated with the categories and varieties of antibacterials used as indexes Evaluation. Results: In 2012, the usage rate of antimicrobials was 9.15% ~ 11.37%, the annual antibacterial drug use rate was 10.24%, the average number of antibacterials prescriptions was 1.24, and the proportion of antibacterial drugs in prescriptions was 21.37%, the basic balance of all quarters, our hospital outpatient use of antimicrobial agents mainly oral. Ward antibacterial use frequency and intensity of use are about 40%; Inpatients use of antimicrobial agents to injection, mainly for surgical prophylaxis. Conclusion: Our hospital outpatient prescriptions and ward orders antibacterial drugs application is reasonable, but the use of antimicrobial drugs in the treatment program is unreasonable and there is no indication of the use of antimicrobial drugs and other issues. Hospital should strengthen hospital pharmacy construction, give full play to the hospital clinical pharmacist monitoring, supervision and assistance to promote clinical science, rational use of antimicrobial agents.