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某院门急诊抗菌药物处方点评效果评价
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| 篇名： | 某院门急诊抗菌药物处方点评效果评价 |
| TITLE： | |
| 摘要： | 目的：为门诊抗菌药物临床合理使用提供参考。方法：采用回顾性分析方法，随机抽取某院2013－2014年门、急诊抗菌药物处方进行统计、分析，并采用限定日剂量法对抗菌药物的使用频度（DDDs）进行分析。结果：通过处方点评，2013－2014年，该院抗菌药物使用率从13.8％下降至11.9％；抗菌药物处方不合理率从2.7％下降至1.2％。儿科、急诊科、泌尿科抗菌药物使用率较高；感染科、肾内科、急诊科人均药品费用较高。2014年较2013年儿科抗菌药物使用率大幅下降，维持在40％左右；2014年1－9月急诊科抗菌药物使用率低于2013年同期，2014年1－9月全院抗菌药物使用率低于2013年同期，10－12月则略高于2013年同期。门诊抗菌药物以单一用药为主，2013、2014年占所有抗菌药物处方比例分别为91.50％、90.77％，二联用药分别占8.44％、9.11％。2013－2014年DDDs排名前3位的抗菌药物均为罗红霉素、头孢呋辛和头孢克肟。结论：该院抗菌药物的使用符合《2013年全国抗菌药物临床应用专项整治活动方案》要求。通过处方点评，该院门诊抗菌药物处方质量和合理使用的各项指标得到很大改善，但个别科室还存在抗菌药物使用率偏高的情况；仍存在使用不合理现象。 |
| ABSTRACT： | OBJECTIVE： To provide reference for rational use of antibacterial drugs in the clinic. METHODS： In retrospective study， outpatient and emergency antibacterial drugs prescriptions were randomly selected from a hospital during 2013-2014， and then analyzed statistically. DDDs of antibacterial drugs were analyzed by using DDD method. RESULTS： From 2013-2014， the application rate of antibacterial drugs in the hospital declined substantially from 13.8％ to 11.9％， and the rate of irrational use dropped from 2.7％ to 1.2％. The application rate of antibacterial drugs was higher in pediatric department， emergency department and urology department； drug cost per capita was higher in infectious department， nephrology department and emergency department. The application rate of antibacterial drugs in pediatric department decreased greatly in 2014， compared with 2013， maintaining about 40％. The application rate of antibacterial drugs in emergency department during Jan.-Sept. in 2014 was lower than corresponding period in 2013， and that of the hospital during Jan.-Sept. in 2014 was lower than corresponding period in 2013， but during Oct.-Dec. in 2014 was slightly higher than corresponding period in 2013. Single type of antibacterial drugs were mainly used in outpatient department， accounting for 91.50％ and 90.77％ of antibacterial drug prescriptions in 2013 and 2014； two-drug accounted for 8.44％ and 9.11％. The top 3 antibacterial drugs in the list of DDDs during 2013-2014 were roxithromycin， cefuroxime and cefminox. CONCLUSIONS： The use of antibacterial drugs is up to the requirements of Nation Special Rectification Actirity for Clinical Application of Antibacterial Drugs in 2013. The prescription comment improve the quality of antibacterial drug prescriptions and rational use index greatly in outpatient department， but the application rate of antibacterial drugs is too high in some department. There still is irrational use of antibacterial drugs. |
| 期刊： | 2016年第27卷第8期 |
| 作者： | 谢娴婷，董卫华，尤海生，王茂义，陈思颖 |
| AUTHORS： | XIE Xianting，DONG Weihua，YOU Haisheng，WANG Maoyi，CHEN Siying |
| 关键字： | 处方点评；抗菌药物；合理用药；限定日剂量 |
| KEYWORDS： | Prescription comment； Antibacterial drug； Rational drug use； DDD |
| 阅读数： | 375 次 |
| 本月下载数： | 9 次 |
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