呼吸系统感染与药物应用横断面调查

Respiratory tract infection and cross-sectional survey of drug utilization

目的:调查呼吸系统感染病人的用药情况,以期为合理用药提供参考。方法:采用横断面调查方法,对2011-01-25 8:00-2011-01-26 8:00上海市浦东新区周浦医院门急诊中,诊断为呼吸系统感染的所有病例进行用药分析。结果:抗菌药物使用率最高,有662份(86.7%),联合使用抗病毒药物的处方占20.3%。非甾体类抗炎药及中成药使用率分别为31.3%和32.0%。结论:本院在治疗呼吸系统感染时,有抗菌药物使用过多,且起点偏高的现象。医院需要加强抗菌药物使用的管理,进一步优化治疗方案。

Objective： To investigate the drug utilization of patients with respiratory tract infection, in order to provide references for rational use of drugs. Methods： Cross-sectional survey was used to analyze the drug utilization in patients diagnosed as respiratory tract infection in Emergency and Outpatient Departments in Zhoupu Hospital of Pudong New Area of Shanghai from 8 a.m. on January 25,2011 to 8 a.m. on January 26,2011. Results：The usage rate of antibacterials was highest （662 pieces,86.7 ~）. The prescriptions including combined use of antiviral drugs accounted for 20.3 % and the usage rates of non-steroid antiinflammatory agents and Chinese patent medicines were 31.3 % and 32.0 %, respectively. Conclusion：In the treat ment of respiratory tract infection, antibacterials were used too much,and the starting level was high in our hospital. The management of antibaeterials utilization needs to he strengthened,and the treatment regimen should be further optimized in the hospital.