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目的分析天津市中心妇产科医院抗菌药物处方的使用情况,指导临床合理用药。方法抽取2012—2013年天津市中心妇产科医院门急诊抗菌药物处方,并分析抗菌药物的使用及不合格处方情况。结果 2012年门急诊抗菌药物的使用率分别为8.28%、13.94%;2013年分别为7.98%、9.66%。2012、2013年被点评的抗菌药物处方分别为5 791、4 783张,其中处方不合格率分别为28.6%、17.6%。不合格处方主要为临床诊断指证不明确和选药不恰当,其中2012、2013年临床诊断指证不明确处方分别为1 379、575张,在不合格处方中不明确率分别为83.2%、68.3%;选药不恰当处方分别为277、267张,在不合格处方中不当率分别为16.8%、31.7%。结论天津市中心妇产科医院的抗菌药物使用基本合理,但仍存在需要改正的问题,以后还需继续加大力度宣传抗菌药物的合理应用,保证患者的用药安全。
Objective To analyze the use of antibacterial prescriptions in the Central Obstetrics and Gynecology Hospital of Tianjin and to guide clinical rational drug use. Methods An antidepartmental and emergency medicine prescription was collected from Tianjin Obstetrics and Gynecology Hospital from 2012 to 2013. The use of antibacterials and the prescription of unqualified prescriptions were analyzed. Results The utilization rates of outpatient and emergency services in 2012 were 8.28% and 13.94% respectively; in 2013 they were 7.98% and 9.66% respectively. The number of antibacterials reviewed in 2012 and 2013 were 5 791 and 4 783 respectively, of which the prescription failure rates were 28.6% and 17.6% respectively. The unqualified prescription is mainly for the clinical diagnosis of the indication is not clear and the drug selection is inappropriate, including 2012, 2013, clinical diagnosis of indictors were not clear prescriptions were 1 379,575, unqualified prescriptions were not clear were 83.2%, 68.3% ; Improper prescriptions were 277,267, respectively, and the unqualified rate was 16.8% and 31.7% respectively in the unqualified prescriptions. Conclusion The use of antimicrobial agents in central obstetrics and gynecology hospital in Tianjin is basically reasonable, but there are still some problems that need to be corrected. It is necessary to continue to intensify the rational use of antimicrobial agents and ensure the safety of patients.