遂宁市中心医院儿科门诊抗菌药物应用合理性分析

Analysis on the Rationality of Antibiotic Use in the Pediatric Outpatients in Suining Central Hospital

目的:了解我院儿科门诊抗菌药物使用情况,并评价其用药合理性,为临床合理用药提供参考。方法:随机抽查2012年下半年我院门诊儿科处方共14 831张,对抗菌药物处方中抗菌药物种类、用药方法及联合用药情况等进行分析。结果:我院门诊抗菌药物使用率为43.54%(6 458/14 831);使用的抗菌药物品种主要以头孢菌素类为主;注射用药占45.06%(2 910/6 458),使用频率最高的药品为哌拉西林/舒巴坦钠;口服用药占54.94%(3 548/6 458),使用频率最高的药品为头孢克肟;抗菌药物联合用药少见,占整个抗菌药物处方的5.01%。结论:抗菌药物专项整治后,我院抗菌药物使用日趋合理,但仍存在少量不合理用药现象,应引起临床重视。

OBJECTIVE：To investigate the antibiotic use in pediatric outpatients of our hospital and evaluate its rationality so as to provide reference for clinical rational use of antibiotics.METHODS：14 831 outpatient prescriptions in the second half year of 2012 were sampled randomly for analysis regarding the types of antibiotics,their administration and combination etc.RESULTS：The rate of the pediatric outpatients using antibiotics was 43.54％ （6 458/14 831）.Cephalosporins took the lead in consumption.The injections represented 45.06％ （2 910/6 458） with piperacillin sodium/sulbactum sodium topping the list of DDDs and the oral antibiotics 54.94％ （3 548/6 458） with cefixime topping the list of DDDs.Combined use of antibiotics was rare accounting for only 5.01％.CONCLUSION：After special rectification activities on antibiotic use,the antibiotic use in our hospital tends to be more and more reasonable; however,irrational antibiotic use was still noted which needs great clinical attention.