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目的研究调查门诊处方抗菌药物合理应用情况,为宏观管理与合理应用抗菌药物提供重要参考依据。方法回顾性分析门诊处方1500张,探究各类抗菌药物的使用情况、联用与单用处方数和比例以及使用种类等。结果 1500张门(急)诊处方中,450张为抗菌药物处方(抗菌药物使用513次),占总处方数的30%;应用次数最多为头孢菌素类,应用341次,占66.47%;其次为大环内酯类药物,应用80次,占15.59%;排列第三的是氟喹诺酮类药物,应用38次,占7.41%。结论用药无指征、联用不合理与选药不合理等均为不合用应用抗菌药物的主要表现,医护人员应当对抗菌药物的监管使用工作予以进一步加强,有效确保临床用药的规范性。
Objective To investigate the rational application of prescription antibacterials in hospitals and provide an important reference for macroscopic management and rational use of antibacterials. Methods A retrospective analysis of 1,500 outpatient prescriptions to explore the use of various types of antimicrobial agents, combined and single with the number and proportion of prescriptions and types of use. Results Of the 1 500 door prescriptions, 450 were antibacterial prescriptions (513 antibacterials), accounting for 30% of the total number of prescriptions. The number of applications was up to cephalosporins, with 341 applications (66.47%). Followed by macrolide drugs, application of 80 times, accounting for 15.59%; ranked third is fluoroquinolone drugs, applied 38 times, accounting for 7.41%. Conclusion No indications of medication, combination of unreasonable and unreasonable drug selection are the main manifestations of non-use of antimicrobial drugs, health care workers should be the use of antimicrobial regulators to be further strengthened to effectively ensure the normative nature of clinical medication.