8894张妇产科门诊处方抗菌药物的使用分析

Analysis of Antimicrobial Drug Usage of 8 894 Prescriptions of Obstetrics and Gynecology Outpatient

目的：了解与分析西京医院妇产科门诊患者抗菌药物的使用情况,以促进临床合理用药。方法：调取医院2013年1—12月间妇产科门诊处方54 302张,对其使用抗菌药物情况作一分析。结果：分析的处方中抗菌药物处方为8 894张（16.38%）;术后患者的抗菌药物使用率为46.03%;常见妇产科疾病患者的抗菌药物使用率为65.66%;妊娠终止患者抗菌药物使用率为71.78%;非感染疾病用药占52.70%;联合使用抗菌药物处方占总抗菌药物处方的61.46%;静脉给药占总抗菌药物8.10%;在抗菌药物使用中使用率较高的有甲硝唑-VB6和头孢地尼,分别为38.33%和25.84%。结论：妇产科门诊患者抗菌药物的使用情况属基本合理,但仍存在不合理现象,需要继续加强管理,进一步提高抗菌药物临床使用水平。

Objective： To study and analyze the status of the application of antibiotics in obstetrics and gynecology outpatients to promote rational use of antibiotics. Methods： 54 302 outpatient prescriptions of obstetrics and gynecology in our hospital, from January 2013 to December 2013 were collected and retrospectively investigated and analyzed. Results： Of the prescriptions, there are 8 894 antimicrobial prescriptions. The rates of antibacterial application in patients with common obstetrical and gynecological diseases, termination pregnancy, and patients without infected disease were 46.03%, 65.66%, and 71.78%, respectively. Combination therapy of antibiotics accounted for 61.46%. Intravenous infusion use of antimicrobial drugs accounted for 8.1%. The rates of metronidazole B6 and cefdinir usage were 38.33% and 25.84% respectively. Conclusion： The clinical use of antimicrobial drugs in outpatients of obstetrics and gynecology was basically rational yet it is far from being perfect. So strengthened management is still needed to improve the lev- el of clinical application of antimicrobial drugs.