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目的了解妇科门诊应用抗菌药物的合理性。方法随机抽取该院妇科门诊2009年1~12月处方,分析抗菌药物使用情况。结果共抽查4576张处方,其中抗菌药物处方3492张,抗菌药物使用率为76.31%。抗菌药物使用类别分别为:喹诺酮类、大环内酯类、β-内酰胺类、林可霉素类、抗真菌类、抗厌氧菌类、氨基糖苷类和复方制剂类。不合理用药处方数为2142张,占抗菌药物处方张数的61.34%,不合理用药的主要类型分别为超疗程用药、不合理联合用药、用药方法不合理等。结论该院妇科门诊抗菌药物不合理使用表现形式多样,应引起领导及相关人员的重视,并加强干预和管理。
Objective To understand the rationality of antibacterials in gynecology clinic. Methods The gynecology clinic of the hospital was randomly selected from January to December 2009 to analyze the use of antibacterials. Results A total of 4576 prescriptions were randomly selected, of which 3492 were antibacterial prescriptions and the antibacterial drug use rate was 76.31%. Antibacterial drug use categories were: quinolones, macrolides, β-lactam, lincomycin, antifungal, anti-anaerobic bacteria, aminoglycosides and compound preparations. The number of irrational prescriptions was 2142, accounting for 61.34% of the number of prescriptions of antibiotics. The main types of irrational medication were hyper-medication, unreasonable combination of medication and irrational medication. Conclusion The department of gynecology clinic outpatient antibacterials unlawful use of various forms of performance should be caused by the leadership and related personnel attention, and to strengthen intervention and management.