某院住院患者利奈唑胺超说明书用药分析

Analysis of Off-Label Use of Linezolid Among Inpatients in a Hospital

目的了解医院住院患者利奈唑胺超说明书用药情况,为临床合理用药和进一步的超说明书研究提供依据。方法统计广州市胸科医院2015年至2016年使用利奈唑胺住院患者的用药情况,按药品说明书判断其超说明书用药情况。结果共分析196条医嘱信息,其中超说明书用药占84. 18%,利奈唑胺超说明书用药共涉及超适应证(56. 90%)、超用法(25. 86%)、超用量(1. 38%)、超疗程(15. 86%),超说明书用药人数前3的科室为儿科、内一科、内四科。结论利奈唑胺超说明书用药情况较常见,均有指征和证据支持,但超用法用量和疗程尚无统一意见,需进一步形成高质量循证医学证据。

Objective To analyze the situation of off-label use of linezolid in our hospital, so as to provide reference for rational drug use and developing off-label drug use policy. Methods The drug use of linezolid for inpatients in Guangzhou Chest Hospital from 2015 to 2016 was analyzed. The situation of off-label drug use was analyzed according to drug label. Results A total of 196 doctors＇ orders were collected and analyzed to discover the occurrence of off- label use was 84.18%. The types of off- label drug use included off - indication（56.90% ）, off - usage（25.86% ）, off - dosage（1.38% ） and off - course（15.86% ）. The top 3 departments of off - label use of linazolid were Department of Paediatrics, The First Department of Medicine and The Fourth Department of Medicine. Conclusion Off-label use of linezolid is common in our hospital, which is supported by indications and evidence. However, there is no consensus on the off-usage, off-dosage and off-course, and high- quality evidence based on medical evidence needs to be further developed.