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目的了解北京市昌平区医院抗菌药物临床使用中的常见问题,分析不合理原因,促进抗菌药物合理应用。方法采用回顾性调查,收集2010年本院处方点评工作中抗菌药物门诊、急诊不合理处方,对代表性处方进行分析。结果抗菌药物不合理用药原因表现在7个方面:适应证不适宜、选药不适宜、用法用量不适宜、联合用药不适宜、重复给药、配伍不宜、溶媒选择不合理。结论北京市昌平区医院抗菌药物合理应用水平有待提高。
Objective To understand the common problems in the clinical use of antimicrobial agents in Changping District Hospital of Beijing and to analyze unreasonable causes and to promote rational use of antimicrobial agents. Methods A retrospective survey was conducted to collect antimicrobial agents in 2010 review of prescriptions in hospitals, and to investigate the representative prescriptions. Results The causes of irrational use of antimicrobial agents were manifested in seven aspects: Indications inappropriate, inappropriate drug selection, dosage is not appropriate, the combination of drugs inappropriate, repeated administration, compatibility should not, the solvent selection is not reasonable. Conclusion The rational use of antimicrobial agents in Changping District Hospital in Beijing needs to be improved.