摘要
目的:了解皖南医学院弋矶山医院门诊抗菌药物的使用情况。方法:随机抽取该院2012年门诊处方7 000张,对抗菌药物处方数、给药途径、药物品种、用药频度(DDDs)、药物利用指数、联合用药情况等进行统计分析,并进行合理性评价。结果:在调查的7 000张处方中,抗菌药物处方数有1 068张,占总处方数的15.26%;口服用药占抗菌药物使用总例次的70.49%;单一用药处方数为795张,占抗菌药物处方数的74.44%;头孢菌素类、大环内酯类及氟喹诺酮类药使用例次较多,分别占抗菌药物总使用例次的37.67%、16.41%和14.35%;其中克拉霉素缓释片的DDDs列首位,其次为头孢丙烯分散片和头孢克洛缓释胶囊;抗菌药物合理使用处方占总处方数的73.97%。结论:该院门诊抗菌药物使用仍存在一些问题,应进一步加强规范化管理,以提高抗菌药物合理应用水平。
OBJECTIVE：To investigate the outpatient antibiotic use in Yijishan Hospital of Wannan Medical College.METHODS：A total of 7 000 outpatient prescriptions prescribed in 2012 in Yijishan Hospital of Wannan Medical College were randomly collected for statistical analysis in respect of the number of antibiotic prescriptions,route of administration,drug varieties,DDDs,DUI,drug combination and rationality of drug use.RESULTS：Of the total 7 000 prescriptions reviewed,1 068 （15.26%） were prescriptions of antibiotics; the orally taken antibiotics represented 70.49% of the total; 795 （74.44%） prescribed antibiotics in single kind; cephalosporins,macrolides and quinolones were used most frequently,accounting for 37.67%,16.41% and 14.35% respectively in terms of medication frequency,with Clarithromycin sustained release tablets ranking the first place in terms of DDDs,followed by Cefprozil dispersible tablets and Cefaclor sustained release capsules; 73.97% of the antibiotic prescriptions were rational.CONCLUSIONS：The utilization of antibiotics in this hospital is rational on the whole yet there are some problems remain to be tackled; the standardized management on antibiotic use should be further strengthened to improve the rational use level of antibiotics.
出处
《中国医院用药评价与分析》
2014年第5期426-429,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
