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目的:为进一步促进农村社区卫生服务站合理应用抗菌药物提供参考。方法:抽取2012年1月1日-2014年12月31日我院辖属8个社区卫生服务站门诊处方4 800张进行调查,统计分析处方中抗菌药物的应用情况,比较采取行政干预措施与技术支持前后的指标情况。结果:2012-2014年,我院辖属社区卫生服务站使用抗菌药物处方占比由2012年的52.88%降至2014年的30.38%;使用抗菌药物处方中临床诊断以急性上呼吸道感染为主;使用最多的抗菌药物种类是头孢菌素;使用抗菌药物处方中不合理处方占比从2012年的43.50%(368/846)降至2014年的22.84%(111/486)。结论:技术与行政干预结合促进抗菌药物合理应用的成效显著,但不合理应用抗菌药物的现象仍然存在。因此,仍需加大干预力度,组织相关培训的同时将使用抗菌药物处方占比纳入绩效考核并加大该项指标权重,以进一步提高农村社区卫生服务站抗菌药物的使用水平。
Objective: To provide reference for further promoting rational use of antibacterial drugs in rural community health service stations. Methods: A total of 4 800 outpatient prescriptions from 8 community health service stations in our hospital were collected from January 1, 2012 to December 31, 2014. Statistics were made on the application of antibacterials in the prescriptions. Administrative interventions were compared with Technical support before and after the index situation. Results: From 2012 to 2014, the proportion of prescriptions for antibiotics used in community health service stations in our hospital dropped from 52.88% in 2012 to 30.38% in 2014. The clinical diagnosis of patients with acute upper respiratory tract infection was mainly based on antibacterial drugs. The most widely used antibacterial drug was cephalosporin; the proportion of irresponsible prescriptions in the use of antimicrobial agents dropped from 43.50% (368/846) in 2012 to 22.84% (111/486) in 2014. Conclusion: The combination of technical and administrative interventions to promote the rational use of antimicrobial agents has achieved remarkable results, but the phenomenon of unreasonable use of antimicrobial agents still exists. Therefore, it is still necessary to step up interventions and organize relevant trainings. At the same time, the proportion of prescriptions for antimicrobial agents should be included in the performance appraisal and the weight of this indicator should be increased so as to further improve the use of antimicrobials in rural community health service stations.