4347例急诊患者抗菌药物的用药分析

Analysis of Anti-bacterial Agents Utilization in 4347 Emergency Patients

目的分析急诊患者的抗菌药物利用情况和药品费用。方法随机抽取2005年1～6月于我院就诊的4347例急诊患者的处方,对其中抗菌药物的使用情况和药品费用进行统计分析。结果4347例急诊患者中有1848例患者使用了14类68种抗菌药物。抗菌药物使用频率最高的是喹诺酮类,其次是头孢菌素和青霉素类,给药方式以静脉和口服为主;静脉滴注药品消耗金额占抗菌药物金额的85.79%。抗菌药物中阿莫西林胶囊、头孢克洛胶囊、左氧氟沙星注射液等药物的限定日剂量值较高。结论2005年1～6月我院急诊患者抗菌药物使用和药品费用情况基本合理。

Objective To investigate the anti - bacterial agents utilization and anti - bacterail agents cost . Methods 4347 emergency patients＇s date of anti - bacterail agents utilization and drug cost were statistically analyzed from January to June 2005. Results 68 kinds of anti - bacterail agents （ 14 categories in total） were used by 1848 emergency patients. Quinolones, cephalosporin and penicillins agents held a dominant position in drug utilization. Taking medicine orally and intravenously were major administration routes. The cost of intervenous drop infusion agents accounted for 85.79% in all cost. The DDDs of amoxicillin capsules, cefaclor capsules and ofloxacin injection were relatively high. Conclusion The use of anti - bacterail a- gents is basically rational in our hospital from January to June 2005.