我院门诊儿科处方静脉使用抗菌药物的评价研究

Evaluation of intravenous administration of antibiotics prescribed in pediatric outpatient in our hospital

目的 :了解我院儿科门诊静脉使用抗菌药物的情况,为临床合理用药提供参考。方法 :对我院2016年5月—10月儿科门诊患者静脉使用抗菌药物进行统计分析。结果 :共有14 619张儿科门诊静脉药物治疗的处方,注射剂处方抗菌药物使用率平均为81.12%,排名前5名为头孢硫脒、阿奇霉素、头孢唑肟、头孢呋辛、头孢他啶。抗菌药物利用指数按年龄划分为5个组,0.9≤DUI≤1.1的患儿较少,而4岁以上儿童的抗菌药物的利用指数DUI<0.9的患儿较多。结论 :儿科静脉使用抗菌药物有一定改进,但仍存在一些问题,需要持续加强监督管理和使用指导。

Objective： To understand intravenous administration of antibiotics prescribed in pediatric outpatient in our hospital so as to provide reference for clinical rational use of antibacterial agents. Methods： The data from the intravenous administration of antibiotics used in pediatric outpatient from May to October in 2016 were statistically analyzed. Results： There were 14 619 pieces of prescriptions involved in the intravenous administration of antibiotics in our children’s outpatient and the average rate of antibiotics use accounted for 81.12%, in which the top fve were cefathiamidine, azithromycin, cefazoxime, cefuroxime and ceftazidime. The drug use index （DUI） was divided into 5 groups based on the age of children. The amount of children with DUI between 0.9 and 1.1 was less than that of DUI 〈0.9. Conclusion： The situation of intravenous use of antibiotics in pediatrics has been improved in spite of some problems, and the supervision and medication guidance should be continuously strengthened.