2013年3月—2014年2月天津市第四中心医院门急诊抗菌药物的使用情况分析

Analysis on usage of antibiotics in outpatient and emergency department of Tianjin 4th Centre Hospital from March, 2013 to February, 2014

目的调查2013年3月—2014年2月天津市第四中心医院门急诊抗菌药物的使用情况,促进抗菌药物的合理应用。方法选取2013年3月—2014年2月天津市第四中心医院门急诊使用的抗菌药物进行回顾性分析,分别从其销售金额、使用频度(DDDs)、联合用药、分级使用、给药途径等方面进行统计分析,并对不合理用药情况进行分析。结果抗菌药物的使用率为16.96%;其中使用率最高的抗菌药物为青霉素类,占25.05%;抗菌药物处方主要以单一抗菌药物使用为主,占83.13%;抗菌药物使用级别主要以限制级为主,占76.27%;口服和静脉给药途径分别为50.49%、49.51%;不合格处方367张,占抽取处方的4.41%。结论 2013年3月—2014年2月天津市第四中心医院门急诊抗菌药物的使用情况基本合理,但仍存在一些不合理情况,还需进一步加强管理。

Objective To investigate the usage of antibiotics in outpatient and emergency department of Tianjin 4th Centre Hospital from March, 2013 to February, 2014, and to promote the rational use of antibiotics. Methods The usage of antibiotics in outpatient and emergency department of Tianjin 4th Centre Hospital from March, 2013 to February, 2014 was summarized retrospectively, and consumption sum, frequency of drug use（DDDs）, drug combination, department distribution, classification, and administration route was analyzed statistically. And the irrational use of antibiotics was analyzed. Results The utilization ratio of antibiotics was 16.96%. The highest utilization ratio of antibiotics was penicillins（25.05%）. Most of antibiotic prescriptions were the single medication, and the rate was 83.13%. Restricted antimicrobial drugs（76.27%） were in the majority. Oral and intravenous administration of antibiotics were 50.49% and 49.51%. Unqualified prescriptions were 367, accounted for 4.41%. Conclusion The utilization of antibiotics is basically rational in outpatient and emergency department of Tianjin 4th Centre Hospital from March, 2013 to February, 2014, but there is still some unreasonable situation, which needs further efforts to strengthen the management.