PDCA循环管理法对门诊输液禁止后社区儿童患者抗菌药物合理用药的影响

Influence of PDCA Circular Management on Rational Usage of Antibiotics after Forbidding Out-patients Infusion in Community Children

目的:探究PDCA循环管理法对门诊输液禁止后社区儿童患者抗菌药物合理用药的影响。方法:选取2019年1月—2019年6月间儿科门诊诊疗的开具抗菌药物用药病例110例资料,按实施PDCA循环法前后将其分为管理前组(实施PDCA法前,n=52)和管理后组(实施PDCA法后,n=58),分析其管理前后抗菌药物合理使用情况及其临床疗效,以及不合理用药的原因。结果:管理后组患儿实施PDCA法后抗菌药物联用、单独使用的发生率与管理前组比较其差异均无统计学意义(P>0.05);不合理用药原因(药物选择不恰当、用药方式不合理、给药时机不合理、医生处方不规范等)的发生率显著低于管理前组(P<0.05);管理后组用药合格率显著高于管理前组(P<0.05)。结论:将PDCA循环管理法用于社区儿童门诊抗菌药物用药管理中,有效提高了抗菌药物的合理使用率,确保了患儿的用药有效性和安全性。

Objective: To explore the influence of PDCA circular management on rational usage of anti-biotics after forbidding out-patients infusion in community children. Methods: Data of 110 cases of antimicrobial drugs prescribed in pediatric outpatient clinics from January 2019 to June 2019 were selected and divided into the pre-management group(n=52, before PDCA) and the post-management group(n=58, after PDCA) before and after PDCA cycle. The rational usage of antibiotics and their clinical efficacy before and after administration were analyzed, as well as the reasons for unreasonable use of antibiotics were also analyzed. Results: There was no statistically significant difference in the incidence of combined or single use of antimicrobial agents in the children group after PDCA administration compared with the group before management(P>0.05). The incidence rate of unreasonable drug use reasons(improper drug selection, unreasonable drug use method, unreasonable drug delivery time, irregular doctor prescription, etc.) was significantly lower than that of the pre-management group(P<0.05). The qualified rate of medication in the control group was significantly higher than that in the control group(P<0.05). Conclusion: PDCA circular management method was applied in the administration of antimicrobial drugs in children’s outpatient clinics in the community, which effectively improved the rational utilization rate of antimicrobial drugs ensuring the efficacy and safety of drug use in children.