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目的通过调查我院门诊处方中抗生素的使用情况并分析其合理性,以促进医院抗生素药物用药的合理性。方法随机抽取我院2014年8月~2015年6月的门诊处方3480张,对含抗生素的处方进行分类统计、分析并进行评价。结果我院门诊抗生素比率为44.83%,存在过度联合用药的现象;抗生素应用主要为孢菌素类、青霉素类、大环内酯类、氟喹诺酮类,其中阿奇霉素、头孢泊肟酯、克拉霉素等本院限制使用的药品却是使用频率最高的药品;同时有196张不合格的抗生素使用处方,其中用法用量不当、药理性拮抗、重复用药、选药错误等问题客观存在。结论我院门诊抗生素药物存在使用不合理现象,亟待加强药品合理应用和规范化管理,提高我院医务人员水平,从而有效保障患者的疗效。
Objective To investigate the use of antibiotics in outpatient prescriptions in our hospital and analyze its rationality so as to promote the rational use of antibiotics in hospitals. Methods A total of 3480 outpatient prescriptions were collected from August 2014 to June 2015 in our hospital. The prescriptions containing antibiotics were classified, analyzed, analyzed and evaluated. Results The prevalence of out-patient antibiotics was 44.83% in our hospital. There was an overuse of antibiotics. The main antibiotics used were sporicillins, penicillins, macrolides and fluoroquinolones, including azithromycin, cefpodoxime proxetil, clarithromycin Other drugs restricted by our hospital are the most frequently used drugs. There are also 196 prescriptions for unqualified antibiotics, among which there are objective problems such as improper usage, pharmacological antagonism, repeated medication and incorrect drug selection. Conclusion There is an irrational use of antibiotics in our clinics. It is imperative to strengthen the rational application and standardization of medicines and improve the level of medical staff in our hospital so as to effectively protect patients.