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目的:探讨和研究抗生素的临床不合理应用情况,并针对性的提出几点建议。方法:抽取浙江长广(集团)有限责任公司职工医院2013年1~12月之间的西药处方9943张,对应用抗生素的处方进行调取,对抗生素的不合理应用情况进行统计分析。结果:本次调取的9943张处方中,使用抗生素的共1473张,占14.8%,其中194张处方存在不合理使用抗生素的情况,占总数的13.2%,其中不合理用药的原因主要包括用法用量不当、无指征用药、不合理联用以及用药时间不当,用法用量不当占40.2%,居第一位。结论:目前抗生素的临床应用上仍存在不合理用药现象,建议加强合理用药培训,重视相关制度的制定和落实,实现抗生素的合理应用。
Objective: To investigate and study the clinical application of antibiotics, and put forward some suggestions pertinently. Methods: 9943 prescriptions of western medicine were collected from workers’ hospital of Zhejiang Changguang (Group) Co., Ltd. from January to December, 2013. The prescriptions of antibiotics were taken and the unreasonable application of antibiotics was statistically analyzed. Results: Of the 9943 prescriptions retrieved, 1473 antibiotics were used, accounting for 14.8% of all the 194 prescriptions, accounting for 13.2% of the 194 prescriptions. Among them, the reasons for irrational use mainly included usage Improper dosage, no indications medication, unreasonable combination and improper medication time, accounting for 40.2% of the total dosage, ranking the first place. Conclusion: The current clinical application of antibiotics still exists irrational drug use, it is recommended to strengthen the training of rational drug use, pay attention to the formulation and implementation of relevant systems, to achieve the rational use of antibiotics.