门急诊盆腔炎性疾病的抗菌药物治疗分析

Analysis of antibacterials used for treatment of pelvic inflammatory disease in outpatient and emergency department

目的:了解我院门急诊盆腔炎患者抗菌药物的使用情况,以促进临床合理用药。方法:采用回顾性调查方法,收集2014年6月21–30日门急诊妇科诊断为盆腔炎性疾病的处方728张,对抗菌药物的应用情况进行统计分析。结果:使用抗菌药物处方共计662张,占总处方量的90.93%;共使用抗菌药物803例次,涉及7大类23个品种,其中头孢菌素类使用率最高,其次为硝基咪唑类和氟喹诺酮类;单一用药521张,二联用药141张,无三联以上用药。结论:我院盆腔炎性疾病的抗菌药物治疗中存在个别药物选择及联用方案不合理、给药频次不当等问题,需进一步规范管理,以促进抗菌药物的合理使用。

Objective： To investigate the clinical application of antibacterials for treatment of pelvic inflammatory disease in outpatient and emergency department and improve rational use of antibacterials in clinic. Methods： A total of 728 prescriptions of female patients with pelvic inflammatory disease were collected from outpatient and emergency department from June 21 to June 30 in 2014, and the utilization of antibacterials was investigated retrospectively. Results： There were 662 prescriptions using antibacterials, accounting for 90.93%. There were 803 cases including 7 categories and 23 kinds of antibacterials, among them, the cephalosporins occupied the first place in terms of use frequency, and followed by nitroimidazoles and fluoroquinolones. A total of 521 prescriptions were single medication, 141 prescriptions were combination of two drugs and no prescription was combination of three drugs. Conclusion： The utilization of antibacterials for treatment of pelvic inflammatory disease was irrational such as inappropriate selection of category, irrational combination of drugs, and unsuitable medication frequency in our hospital, further management should be standardized for rational use of antibacterials.