论文部分内容阅读
目的分析目前临床上不合理使用抗生素的原因方法随机抽取2014年8月至2015年8月期间临床处方4000例进行分析,统计其中抗生素的用药情况,找出抗生素使用不合理的处方,分析临床上抗生素使用不合理的原因结果抗生素使用率为62.0%,其中预防性用药所占比例为59.4%,治疗性用药为29.8%,混合性用药所占比例为10.8%,其中不合理用抗生素的有24.9%。不合理用药中,无指征预防性用药30.4%,无指征联合用药16.8%,抗生素选用不恰当13.3%,用药剂量过大15.9%,用药时间过长10.8%,用药过频繁12.0%,医师越级使用抗生素0.81%。结论抗生素的不合理使用的原因是受医药业的不合理利益驱动,医院管理制度的缺乏,某些医生的盲目使用,以及患者凭经验购药等各种因素所造成。
Objective To analyze the causes of unreasonable use of antibiotics in clinic at present.Methods 4000 cases of clinical prescriptions were randomly selected from August 2014 to August 2015. The antibiotics were collected and the unreasonable prescription of antibiotics was used to analyze the clinical The reasons for unreasonable use of antibiotics The results of the use of antibiotics was 62.0%, of which prophylactic drugs accounted for 59.4%, 29.8% for therapeutic drugs, mixed drugs accounted for 10.8%, of which irrational use of antibiotics 24.9 %. Irrational drug use, no indications of prophylactic drug use 30.4%, 16.8% without indication combination, inappropriate use of antibiotics 13.3%, overdose 15.9%, overdose medication time 10.8%, medication over 12.0% frequently, the physician Leapfrog use of antibiotics 0.81%. Conclusions The reasons for the unreasonable use of antibiotics are caused by the irrational interests of the pharmaceutical industry, the lack of hospital management system, the blind use of certain doctors and the purchase of drugs by patients with experience.