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目的调查2003年北京医院急诊抗菌药物的应用情况,并评价其合理性。方法对2003年全年急诊应用的抗菌药物的品种、类别及构成比进行统计。随机抽取处方5240张,统计抗菌药物的使用率及联合用药等情况,分析抗菌药物应用中的不合理现象,考察处方的书写质量。结果急诊2003年共应用抗菌药物95种,其金额占全部用药金额的43.36%,头孢菌素类居首位,其次为喹诺酮类和克林霉素。抽查结果,抗菌药物的使用率为41.48%,以单药治疗为主。不合理用药表现在适应症不合理、用药量大、疗程太短、换药频繁等。质量方面主要是缺项问题,年龄缺项占7.33%,诊断缺项占55.11%。另外用法用量的书写也存在不规范之处。结论急诊应加强抗菌药物的合理应用和处方的规范书写。
Objective To investigate the application of emergency antimicrobial agents in Beijing Hospital in 2003 and evaluate its rationality. Methods The types, composition and proportions of antimicrobial agents used for emergency in 2003 were statistically analyzed. 5240 prescriptions were randomly selected, the usage rate of antimicrobial agents and the combination of drugs were statistically analyzed, and the irrational use of antimicrobial agents was analyzed and the writing quality of prescriptions was investigated. Results A total of 95 antibacterials were used in emergency department in 2003, accounting for 43.36% of the total amount of drug use. Cephalosporins ranked first, followed by quinolones and clindamycin. Spot checks results, the use of antibacterial drugs was 41.48%, mainly to single-agent treatment. Irrational use of drugs in the indications of unreasonable, medication, treatment is too short, frequent dressing changes. The quality is mainly lack of items, accounting for 7.33% of the missing age, lack of diagnosis accounted for 55.11%. In addition the amount of usage of writing there are also irregularities. Conclusion The emergency department should strengthen the rational use of antimicrobial agents and prescription writing.