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目的调查我院2012-2015年儿科住院部抗菌药物使用情况及不合理处方用药情况。方法选择儿科住院部用药处方1 200张,对不合理处方进行分类统计,并对抗菌药物使用频率及不合理率进行分析。结果116张不合理用药处方中,≤1岁13张(11.21%),1~3岁62张(53.45%),4~6岁20张(17.24%),7~12岁11张(9.48%),≥12岁10张(8.62%),其中1~3岁患儿不合理用药率最高,≥12岁患儿最低。116张不合理用药处方中,不合理类别主要有:给药频率不当41张(35.34%),药物使用疗程过长或不足50张(43.10%)。药物类别:头孢哌酮不合理处方41张(35.34%),哌拉西林25张(21.55%),阿奇霉素16张(13.93%)。结论该院儿科住院部抗菌药物处方存在不合理现象,医护工作者应加强专业知识学习,确保用药安全、有效、合理。
Objective To investigate the use of antimicrobial agents in pediatric inpatient department in 2012-2015 and the situation of irrational prescription medication in our hospital. Methods A total of 1 200 prescriptions for pediatric inpatient department were selected to classify the unreasonable prescriptions and analyze the frequency and unreasonable rate of antibacterials. Results Among the 116 unreasonable prescriptions, 13 (11.21%) were less than 1 year old, 62 (1-3.4) years old were 20 (17.24%) at the age of 4 to 6, 11 (9.48% ), ≥12-year-old 10 (8.62%), of which 1 to 3-year-old children with the highest rate of irrational medication, children aged ≥12 years of the lowest. Of the 116 unhealthy prescriptions, the unreasonable categories were 41 improper dosing (35.34%) and overdose or less than 50 medication (43.10%). Drug categories: cefoperazone 41 unreasonable prescriptions (35.34%), piperacillin 25 (21.55%), azithromycin 16 (13.93%). Conclusion There is an unreasonable antimicrobial prescription in Pediatric Inpatient Department of the hospital. Health care workers should strengthen their professional knowledge to ensure that the medication is safe, effective and reasonable.