武警某院急诊科抗菌药物处方分析

Analysis of prescriptions of antibiotics in Department of Emergency of a hospital

目的了解武警某院急诊科抗菌药物的使用情况。方法提取急诊科2015年下半年的处方,遴选出使用抗菌药物(除去眼膏、外用膏药及中成药)的处方。对抗菌药物处方进行分类统计及分析,包括使用抗菌药物的种类及比例、使用居前6位的抗菌药物、抗菌药物的联合使用情况等。结果在2015年下半年急诊处方中有抗菌药物处方3872张,占处方总数的22.3%。使用抗菌药物构成比中,喹诺酮类药物使用频率最高,占42.9%。使用居第一位的药物是左氧氟沙星,占39.8%。单联处方77.86%,二联处方22.14%,无三联处方。结论 2015年下半年我院急诊科抗菌药物使用符合卫生部抗菌药物使用规定,但有些方面还需要进一步改进。

Objective To find out about the use of antibiotics in the Department of Emergency at our hospital. Methods Antibiotics prescriptions were selected from emergency prescriptions over the second half of 2015（ eye ointment,topical plasters and traditional Chinese medicine excluded）. Prescriptions of antibiotics were classified and analyzed statistically,involving the use and proportion of antimicrobial agents and the combined use of antimicrobial agents. Results There were 3872 prescriptions of antibiotics among emergency prescriptions in the second half of 2015,accounting for 22. 3% the total prescriptions in this department. Quinolone drugs were used most frequently,accounting for 42. 9%. The use of ofloxacin ranked first,accounting for 39. 8%. Prescriptions of a single drug made up 77. 86%,and two-drugn prescriptions 22. 14%. There were no prescriptions of three drugs. Conclusions The use of antibacterials in the Department of Emergency at our hospital in the second half of 2015 conformed to the guidelines of the Ministry of Health,but there is much to be desired.