我院儿科门诊抗菌药物应用调查分析

Analysis of the Use of Antibacterials in Pediatric Clinic in Our Hospital

目的:了解我院儿科门诊抗菌药物的使用情况,评价其用药合理性。方法:随机抽取我院2007年12月和2008年1月、2月儿科门诊处方6540张,对抗菌药物应用情况进行调查分析。结果:共抽查处方6540张,使用抗菌药物处方为3868张,抗菌药物使用率为59.1%,其中口服给药占使用抗菌药物的37.7%,静脉给药占62.3%。单用1种抗菌药物(包括与抗病毒药合用)的处方为3 589张,占使用抗菌药物处方的92.8%,二联用抗菌药物处方为280张,占使用抗菌药物处方的7.2%,无二联以上抗菌药物处方(但不包括与抗病毒药合用)。结论:我院儿科门诊抗菌药物应用基本合理。但应注意静脉给药比例偏大、细菌耐药性问题等,需加强抗菌药物的合理应用。

OBJECTIVE ： To probe into the pediatric outpatient use of antibacterials and to evaluate the rationality of the drug use. METHODS ： A total of 6 540 pediatric outpatient prescriptions were randomly selected from hospitals in July 2007 and Jan. and Feb. in 2008 for an analysis of the utilization of antibacterials. RESULTS： Of the total 6 540 prescriptions reviewed, 59.1% （3 868/6 540）involved the use of antibiotics, of which, 37.7% administered orally, 62, 3% intravenously, 92.8 % （3 589）prescribed single kind of antibacterial drugs （including combination with the antiviral drugs）, 7.2% （280）two kinds in combination. None prescribed more than two kinds in combination （excluding combination with antiviral drugs）. CONCLUSION： The pediatric out - patient use of antibacterials is rational on the whole. However, great importance should be attached to the problems such as the high proportion of intravenous administration and bacterial resistance. The rational use of antibacterials should be strengthened.