两家医院门诊处方抗菌药物应用分析

Analysis on application of antibacterials in different hospital outpatient prescription

目的分别对两家医院的门诊处方抗菌药物应用情况进行统计分析,统计门诊患者抗菌药物应用情况,以期对规范抗菌药物合理应用提供依据。方法随机抽取2013年门诊处方2400张,调查其用药情况。结果两家医院处方平均用药品种数分别为2.09种和1.96种;抗菌药物使用率分别为16.92%和9.67%;平均处方金额分别为179.35、277.41元;平均抗菌药物处方金额为116.41、189.78元;单用抗菌药物处方各占应用抗菌药物处方总数的96.69%和93.1%;联用抗菌药物处方各占应用抗菌药物处方总数的3.31%和6.9%。结论不同规模医院的抗菌药物指标差异较大,规模较大医院的处方平均金额、应用抗菌药物处方平均金额较大,更有必要加强对抗菌药物应用的管理。

Objective A statistical analysis of the application of antibiotics prescribed for outpatients in two hospitals was carried out in the present study, in order to understand the application of antibiotics for patients and provide the basis for the specifications of reasonable application of antibiotics. Methods Totally 2400 pieces of outpatient prescriptions in 2013 were randomly and respectively selected from the two hospitals for investigation of the medication. Results The average number of drugs per prescription were 2. 09 and 1.96, the usage rate of antimicrobial agents were 16. 92% and 9.67% , the average amount of prescription were 179. 35 yuan and 277.41 yuan, average antimicrobial prescription for the amount of 116. 41 yuan and 189. 78 yuan, Only one kind of antibiotic prescribing of antibiotics prescription were 96.69% and 93.1% , combined with the application of antibiotic prescribing of antibiotics prescription were 3.31% and 6. 9%. Conclusion A large difference presented in the indicators for outpatient antibiotic use among different sizes of hospitals. The average amounts of prescription and antibiotic prescription in larger sizes of hospitals were relatively larger, thus the larger sizes of hospitals should strengthen the management of antibiotics even more.