我院儿科门诊抗菌药物注射剂应用分析

Analysis of antibiotic injections for pediatric in outpatient department in our hospital

目的了解我院儿科门诊抗菌药物注射剂应用的合理性。方法随机抽取我院2011年1～8月儿科门诊使用抗菌药物注射剂处方共669张,按照《抗菌药物应用指导原则》对抗菌药物注射剂的应用情况进行判断与描述性统计分析。结果静脉给药658张占98.4%;共使用抗菌药物注射剂5类13种,第三代头孢菌素使用率最高(34.7%),其次为大环内酯类(14.1%);抗菌药物联用处方72张(10.8%),联合应用其他药物648张(96.9%),处方平均用药3.2种;诊断与用药相符处方607张(90.5%);抗菌药物说明书中儿童药标注缺失较多。结论我院儿科抗菌药物注射剂使用基本合理,但仍存在问题,需要继续加强儿童抗菌药物注射剂合理使用的督导。

Objective To study the rational use of antibiotic injections for pediatric in outpatient department in our hospital. Methods 669 prescriptions of pediatric outpatient from January to August of 2011 were randomly collected, according to the Antibiotics Application Guideline, the application of the antibiotic injections was judged and descriptive statistical analyzed. Results The numbers of prescriptions of intravenous antibiotics were 658, which took 98.4% in total. 13 kinds of antibiotic injections in five cate- gories were used. The used rate of third generation cephalosporin was34.7% , and maerolide was 14.1% . The number of combined ap- plication of antibiotics prescriptions were 72（ 10.8% ） , combined application of non-antibiotics prescriptions were 648（96.9 % ）. The average number of prescription was 3.2. The medication of 607 （90.5%） prescriptions was consistent with the diagnosis. There were many deficiency in package inserts for pediatric patients. Conclusion The antibiotic injections were rationally used for pediatric in outpatient department in our hospital, but it still had some problems. Therefore, more efforts should be done to promote the reasonable application of antibiotic injections in children.