门诊抗菌药物应用现状分析.pdfVIP

2 0 1 3 年 8 月 第 3 卷 第 1 5 期 ·调查研究· 门诊抗菌药物应用现状分析 方  明 安徽省立医院药剂科，安徽合肥 230001 [摘要] 目的 探讨门诊抗菌药物的使用现状，以便更加科学的管理和使用抗菌药物。 方法 收集 2012 年 1 ～ 12 月期间的处方 36 378 张，分析抗菌药物使用处方。 结果 36 378 张应用抗菌药物的处方为 19 883 张，占 54.66%， 存在应用抗菌药指征的为处方有 18 684 张，占 93.97%，单用处方为 11 862，占 59.66%，二联用处方为 7902 张， 占 39.74%，三联用处方为 119 张，占 0.60%；注射用处方为 14 866 张，占 40.87%，口服用处方为 18 656 张，占 51.28%，阿奇霉素的用药品读较高，为 6358 张，占 17.48%。 结论 门诊抗菌药基本合理规范，但是需要进一步规范 管理，以便增强合理安全用药，减少药源性疾病发生。 [关键词] 门诊；抗菌药物；联合用药；细菌 [中图分类号] R95      [文献标识码] B      [文章编号] 2095-0616（2013）15-71-02 Status analysis of antibacterial usage in outpatient FANG  Ming Department of Pharmacy,Anhui Provincial Hospital,Hefei 230001,China [Abstract] Objective To explore the status of antibacterial usage in the outpatient department in order to manage and use the antibacterial more scientifically. Methods A total of 36378 prescriptions from January 2012 to December 2012 were collected,of which the prescriptions using antibacterial were analyzed. Results Of the 36378 prescriptions,19883 were antibacterial prescriptions,accounting for 54.66%;18684 had antibacterial indications,accounting for 93.97%;11862 were single-use prescriptions,accounting for 59.66%,7902 were double combination prescriptions, accounting for 39.74%,and 119 were triple prescriptions,accounting for 0.60%;14866 were injection prescriptions,accounting for 40.87% and 18656 were oral use prescriptions,accounting for 51.28%; The use of azithromycin was common, which was found in 6358 prescriptions,accounting for 17.48%. Conclusion The use of antibacterial is basically rational and standard in the ourpatient department, but further standarization and management is needed in o