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目的:了解我院门诊抗菌药物处方的不合理情况,为临床提供参考。方法根据《处方管理办法》、《医院处方点评管理规范(试行)》等为依据,随机抽取我院2013年2月~5月门诊抗菌药物处方800张,对其中抗菌药物不合理使用处方进行统计、分析。结果800张抗菌药物处方中,存在不合理情况的有173张,占21.63%;其中,头孢菌素类在抗菌药物不合理处方中使用频次和占比居首位(58.56%),青霉素类(15.47%)和喹诺酮类(12.15%)分别位居第二和第三位;呼吸科和儿科应用抗菌药物频次较高,抗菌药物不合理使用处方分别占到27.17%、20.13%;主要不合理处方类型为用量与频次不适宜(49.71%)、无指征用药(17.92%)等。结论我院门诊抗菌药物处方总体质量一般,需不断规范抗菌药物的合理使用,减少医药资源的浪费,以确保患者用药的合理、安全、有效、经济。“,”Objective To investigate the situation of irrational antibiotic prescriptions in outpatient department of our hospital,and provide reference for clinical.Methods According to the Prescription Management Method, Management Criteria of Hospital Prescription Comment (trial)and others, selected800pieces outpatient service antibiotic prescriptions from our hospital in February to July2013,to statistics and analysis the unreasonable prescriptions.Results Among800antibiotic prescriptions,173were unreasonable,accounted for21.63%;the frequency and percentage of cephalosporins in irrational antibiotic prescriptions ranked first (58.56%),penicillins (15.47%)and quinolone (12.15%)were ranked second and third;The DDDs of antibiotics in respiration department and pediatric department was the highest,the irrational prescriptions respectively accounted for27.17%,20.13%;the main types of irrational prescriptions were dosage and frequency is not suitable for (49.71%),and unindication of application (17.92%)and so on. Conclusion The quality of outpatient antibiotic prescriptions in our hospital is not very good,more work must be done to reduce the waste of medical resources,and ensure that medicines are used irtional,safely,effectively and economically in patients.