中国药物警戒 ›› 2012, Vol. 9 ›› Issue (9): 566-568.

• 医院药事管理与合理用药 • 上一篇    下一篇

我院儿科门诊抗菌药物使用情况调查与分析

周虹, 林志强, 吕达娜, 傅新阳, 张国伟   

  1. 福建医科大学附属泉州市第一医院,福建 泉州362000
  • 收稿日期:2012-01-04 出版日期:2012-09-10 发布日期:2015-08-07
  • 作者简介:周虹,女,硕士,药师,临床药学。

Investigation of the Use of Antibacterial Drugs in Pediatric Outpatient Department of Our Hospital

ZHOU Hong, LIN Zhi-qiang, LV Da-na, FU Xin-yang, ZHANG Guo-wei   

  1. Fujian Medical University Affiliated Quanzhou First Hospital, Fujian Quanzhou 362000, China
  • Received:2012-01-04 Online:2012-09-10 Published:2015-08-07

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摘要： 目的了解我院儿科门诊抗菌药物使用情况 ,促进临床合理用药。方法计算机随机抽取我院2011年8月~9月儿科门诊处方共3 360张,对抗菌药物使用处方数、使用频率、给药途径、联合使用情况等进行统计分析。结果使用抗菌药物处方1 441张,抗菌药物使用率43％,包括6大类、28个品种,使用频率前3位为头孢美唑、头孢泊肟和阿奇霉素。给药途径中静脉给药占58.1％,其中入壶给药方式占静脉给药96％;单联抗菌药物使用率达89％。二联为11％,无三联及以上处方;存在中药注射剂与抗菌药物配伍情况达24％。结论我院儿科门诊抗生素应用存在诸多不合理,如抗菌药物使用率偏高、药物选用起点过高、中药配伍等问题,医院应加强儿科抗菌药物的遴选和规范化使用,促进安全、经济、合理用药。

关键词: 儿科门诊, 抗菌药物, 调查与分析, 联合使用

Abstract: ObjectiveTo investigate the use of antimicrobial drugs in pediatric outpatient department, and promote the rational use of medicine. Methods3 360 prescriptions from August 2011 to September 2011 were randomly selected from computer system in pediatric outpatient department, and statistically analyzed by investigating the antibiotics for number of prescriptions, usage frequency, route of administration and combined use, etc. ResultsThere were 1 441 antibacterial prescriptions, the antibacterial use rate was 43%, including 6 categories and 28 species. The top three for the frequency of use was Cefmetazole, Cefpodoxime and Azithromycin. Intravenous administration was the main route, accounting for 58.1%, in which the administration of drug delivery into the pot accounted for 96%. Among the prescriptions of antibacterial drugs, 89% of them contained single agent,11% of them contained two agents,no three or more agents.The use rate of Traditional Chinese Medicine injections combined with antibiotics was 24%. ConclusionSome problems should be paid attention such as the higher antibiotics use rate, the initial antibiotics in higher grade, and combination with Chinese herbal medicines. The hospital should strengthen the selection and standardized use of antibiotics in pediatrics, promote the safe, economical and rational use of drugs.

Key words: pediatric outpatient department, antibacterial drugs, investigation, combination