2003—2005年我院门诊医保患者抗生素使用分析

Analysis of Antibiotics Use for Outpatients in Our Hospital during Period of 2003—2005

目的评估医院门诊医保患者使用抗生素的合理性。方法选择2003—2005年每年1月使用抗生素的医保处方加以统计分析。结果医保患者使用抗生素的比例逐年增加,针剂抗生素的使用在2005年已超过片剂;头孢菌素类药物的使用有下降趋势,而喹诺酮类和大环内酯类药物则大幅提高,2005年度其增长率分别为52.8%和109.2%;使用抗生素分布比例最多的科室一直是急诊科。结论门诊医保患者抗生素的使用基本合理,但也存在着一些不合理现象,应有目的地对临床科室使用的部分抗生素品种进行干预和控制。

Objective To review the rationalization of the use of antibiotics for outpatients in hospital. Methods To select and analyze statistically the prescriptions containing antibiotics for outpatients in January during 2003- 2005. Results The ratio of antibiotics was increasing,the ratio of injection exceeded tablets＇in 2005. The use of cephalosporlns decreased,but 4- quinolones and macrolides had a big raise, their increase rates were 52.8% and 109.2% in 2005. The department that used the antibiotics at most was emergency ward. Conclusion The use of antibiotics for outpatients in the hospital is rational basically, but there still have some problems. It is necessary to intervene and control some kinds of antibiotics used in the clinical department with definite purpose.