某民营医疗机构1496张门诊抗菌药物处方的评价与分析

Evaluation and Analysis of 1496 Outpatient Prescriptions of Antibacterial Drugs in a Private Hospital

目的:评价与分析民营专科医疗机构门诊处方抗菌药物使用情况,促进临床合理用药。方法:收集2015年1-2月所有门诊处方5 159张,提取其中1 496张含有抗菌药物的处方,对抗菌药物处方书写情况、口服与静脉滴注处方数、抗菌药物单独使用与联合使用等情况进行统计,对抗菌药物处方的用药合理性进行评价与分析。结果:抗菌药物的使用率为29.00%,静脉滴注途径给药的抗菌药物使用率为42.51%。不规范处方312张,用药不适宜处方87张,超常处方10张。抗菌药物单独使用的处方1 104张(73.80%),联合用药处方392张(26.20%),其中两联用药占23.66%,三联用药占2.34%,四联用药占0.20%。抗菌药物处方合格率为72.66%。结论:民营专科医疗机构抗菌药物的使用存在不少问题,应引起医院领导和临床医生的高度关注。

Objective：To evaluate and analyze the outpatient prescriptions of antibacterial drugs in a private hospital so as to promote the rational drug use in clinical practice.Methods：About 1 496 prescriptions containing antibacterial drugs were extracted from 5 159 outpatient prescriptions from January to February in 2015. The pre-scription writing,the numbers of prescriptions of oral drug administration and intravenous infusion and the single use and combined use of antibacterial drugs were statistically analyzed,and the rationality of the prescriptions of antibacterial drugs was evaluated.Results：The use rate of antibacterial drugs was 29.00% and 42.51% of antibac-terial drugs was given by infusion. About 312 prescriptions were non standardized,87 prescriptions having the problems of inappropriate medication and 10 of abnormal prescriptions. The prescriptions of single use of antimicro-bial drug were 1 104（73.80%）and that of combined use were 392（26.20%）,among which the combination use of two kinds of antibacterial drugs was 23.66%,three kinds of drugs was 2.34% and four kinds of drugs was 0.20%. The reasonable use rate of antibacterial drugs was 72.66%.Conclusion：There were problems in the rational use of antibacterial drugs in the private hospital therefore more attention should be paid by clinicians and hospital leaders.