宜城医院门诊抗菌药物应用分析

Analysis of using of anti-infectives in outpatients

目的了解我院门(急)诊抗菌药物的使用情况,评价用药的合理性,从而为正确调控抗菌药物的供应结构,建立健全监管机制,合理使用抗菌药物提供依据。方法通过医院信息管理系统,调取了2009年1～6月期间,每月各5d的门(急)诊处方共9789张,进行调查分析。结果共抽取处方9789张,其中使用抗菌药物的处方4711张,抗菌药物使用率为48.13%,单用一种抗菌药物的处方3095张,占比31.62%;二联用抗菌药物的处方1614张,占比16.49%;三联用抗菌药物的处方2张,占比0.02%。结论我院门诊抗菌药物的使用基本合理,但仍有问题存在,在抗菌药物合理使用的监管工作上亟待加强。

Objective To investigate the using of anti-infectives in outpatient and emergency departments of our hospital so as to provide basis for the decision making in regulating supply structure of anti-infectives,constituting control system and promoting reasonable drug use.Methods 9789 prescriptions during the first half of the year of 2009 were selected from outpatient and emergency departments for analysis of the use of anti-infectives,from HIS（the hospital information system）.ResultsOf the total 9789 prescriptions examined,4711（31.62%）were anti-infective,of which,3095（31.62%）prescribed only one kind of anti-infectives,1614（16.49%）prescriptions 2 kinds of and 2（0.02%）prescribed more than 2 kinds of anti-infectives concomitantly.ConclusionThe using of anti-infectives in outpatient and emergency department of our hospital is basically rational yet far from perfect,and the rational drug use level should be further improved.