中国药物警戒 ›› 2013, Vol. 10 ›› Issue (1): 51-53.

• 医院药事管理与合理用药 • 上一篇    下一篇

我院急诊处方中抗菌药物使用的分析

孙庆敏,邱召娟   

  1. 江苏省中医院,江苏南京 210029
  • 收稿日期:2012-06-29 修回日期:2016-03-12 出版日期:2013-01-08 发布日期:2016-03-09
  • 通讯作者: 邱召娟,女,主任药师,临床药学与药品风险管理。E-mail:qiuzhaojuan@163.com
  • 作者简介:孙庆敏,男,硕士,药师,临床药学。

Analysis of Antibacterial Drugs on Emergency Prescription in Our Hospital

SUN Qing-min, QIU Zhao-juan   

  1. Traditional Chinese Medicine Hospital of Jiangsu Province, Jiangsu Nanjing 210029, China
  • Received:2012-06-29 Revised:2016-03-12 Online:2013-01-08 Published:2016-03-09

摘要: 目的 了解我院急诊抗菌药物的使用情况,为临床合理用药提供参考。方法 抽取急诊药房2012 年4 月份的处方,遴选出使用抗菌药物(除去眼科药物、外用膏剂以及中成药)的处方。根据我院的抗菌药物用药统计数据以及采用限定日剂量法分析的方法,分析使用率、联用情况、不合理用药情况以及DDDs 值。结果 抽查抗菌药物处方6 118张,急诊处方抗菌药物使用率为39.2%。其中单用处方有5 723 张,抗菌药物联合使用率为6.45%。头孢菌素尤其第三代头孢应用最为频繁。联合用药以单联为主,其余大多为二联。不合理用药主要为用药无指征、给药方式不当和一次给药剂量过大。结论 我院抗菌药物使用频率高于标准,且存在一些不合理现象。为保障患者用药的安全、有效、经济,应加强抗菌药物的合理应用培训。

关键词: 抗菌药物, 急诊处方分析, 合理用药

Abstract: Objective To investigate our hospital emergency antibacterial drugs' use, and provide a reference for the clinical use of drugs. Methods Extracting the emergency pharmacy prescription during April 2012, selecting prescription use of antibacterial drugs(removal of eye medications, topical ointments and Chinese patent medicine). According to our hospital antibacterial drugs' statistical data and use the method of defined daily dose analysis, to analyze the utilization, combination with other drugs, irrational drug use and DDDs value. Results There were 6 118 antibacterial prescriptions. The antibacterial drug use rate was 39.2%. Among the antibacterial drug prescriptions,5 723 of them contained single agent, 6.45% of them contained one, two or more. Cephalosporins, especially the third-generation cephalosporin were used most frequently. The combination mainly contained one drug. The rest mostly contained two. The main irrational drug uses were without indication for the medication, improper administration and one time excessive dosages. Conclusion The using frequency of antibacterial drugs in our hospital was higher than the standard, and pre sented some unreasonable phenomenon. In order to ensure the safe, effective, and economic of medication, we should strengthen the training for rational use of drugs.

Key words: antibacterial drugs, analysis of emerrgency prescriptions, rational use of drugs

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