我院2013-2014年儿科患者用药分析
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篇名: 我院2013-2014年儿科患者用药分析
TITLE:
摘要: 目的:为儿科患者合理用药提供参考。方法: 对我院儿科患者用药情况进行回顾性统计和分析,随机抽取2013年7月-2014年7月儿科住院病历600份及门诊处方3 000张,对用药情况进行合理性分析。结果: 儿科住院患者药品销售金额排在首位的是抗菌药物(173 325.75元),其中注射用美洛西林销售金额最高(37 771.1元),注射用头孢呋辛DDDs最高(583.3);住院患儿以3~6岁居多(占42.83%);抗菌药物主要以单一用药和二联用药为主(占89.64%);住院患儿抗菌药物不合理使用主要是用法、用量不合理(占40.96%)。门诊患儿药品销售金额排在首位的是抗菌药物(442 421.83元),其中口服药处方数最多的是头孢呋辛酯和头孢地尼(分别为90张,各占33.33%),注射剂处方数最多的是头孢呋辛(207张,占19.13%);门诊不规范处方主要为药品规格、剂量书写不规范(占47.83%)。结论: 我院儿科用药还存在不合理的情况。临床药师要发挥指导、监督临床用药的作用,加强处方点评力度,提高用药质量,确保儿科患者安全、合理、高效用药。
ABSTRACT: OBJECTIVE: To provide reference for rational drug use in pediatric patients. METHODS: Drug use of pediatric patients in our hospital were analyzed retrospectively and statistically. 600 medical records and 3 000 outpatient prescriptions of pediatric patients were randomly selected from Jul. 2013 to Jul. 2014, to analyze the rationality of drug use. RESULTS: For pediatric inpatients, top one drug in the list of consumption sum was antibiotics (173 325.75 yuan), among which Mezlocillin for injection took up the first place (37 771.1 yuan); DDDs of Cefuroxime for injection was the highest (583.3). Most of inpatients aged 3-6 years (42.83%), and antibiotics mainly were used in form of single dose and two-drug combination (89.64%). Irrational use of antibiotics in the inpatients mainly manifested as unreasonable usage and dosage (40.96%). For outpatients, top one drug in the list of consumption sum was antibiotics (442 421.83 yuan), among which most oral drug prescriptions contained cefuroxime axetil and cefdinir (90 pieces, accounting for 33.33%, respectively), and most injection prescriptions involved cefuroxime (207 pieces, accounting for 19.13%). Non-standardized outpatient prescriptions mainly manifested as non-standard specification and dosage writing (47.83%). CONCLUSIONS: Irrational drug use still exist in our hospital. Clinical pharmacists should play a role on clinical drug use guidance and monitoring, strengthen prescription comment and improve the quality of drug use to ensure safe, rational and effective use of drugs in pediatric department.
期刊: 2016年第27卷第2期
作者: 徐丽君,贺爽
AUTHORS: XU Lijun,HE Shuang
关键字: 儿科;抗菌药物;合理用药;分析
KEYWORDS: Pediatric department; Antibiotics; Rational drug use; Analysis
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