北京市东城区社区卫生服务中心抗菌药物应用分析.pdfVIP

Pharmaceutical Administration 药事管理 北京市东城区社区卫生服务中心抗菌药物应用分析 * 李宁, 牛军平 , 陈彬彬 北京市东城区社区卫生服务管理中心 ，北京 100051 [摘要] 目的：了解北京市东城区社区卫生服务中心抗菌药物的使用现状 ，为社区抗菌药物合理应用提供依据。方法：随机抽 取我社区20 14年1月至20 14年3月的处方，每月抽取300张，分别从抗菌药物使用种类、用药时间、是否联合用药等方面进行分 析评价。结果：抗菌药物总的使用率为8.67% 。所使用的抗菌药物涉及8大类15个品种 ，主要为头孢菌素类、青霉素类、硝咪 唑类、大环内酯类等。平均用药天数为6d 。结论：我社区抗菌药物选择较合理 ，同时我们应当加强抗菌药物使用管理 ，根据 患者情况，选用经济有效的抗菌药。 [关键词] 社区卫生服务；抗菌药物；合理用药；药事管理 [中图分类号] R951　　[文献标识码]　A　　[文章编号]　1672-2809(2014)24-004 1-03 Analy sis on Antibiotic Utilization in Community Health Service Center of Beij ing Dongcheng District * LI Ning, NIU Jun-ping , CHEN Bin-bin Community Health Service Management Center of Beij ing Dongcheng District, Beij ing 100051, China [Abstract] Obj ective: To investigate the utilization of antibiotics in Community Health Service Center of Beij ing Dongcheng district and provide reference for the rational use of antimicrobial drugs. Methods: 300 medical records were randomly selected per month in our community health service center from January to March of 2014. Antibacterial drugs selection, treatment duration, drug combination were analyzed. Results:Antibacterial drugs took up to 8.67% of all analytical cases, which involved 8 Classes and 15 varieties. Cephalosporin, penicillin, nitrate imidazole and macrolides were the most frequently used antibacterials. The average duration of treatment was 6d. Conclusion: The utilization of antimicrobial agents was reasonable. The management of antibiotic usage should be strengthened. More economic and effective antibiotics should be chosen according to the clinical situation. [Key words] Community Health Service; Antibacterial; Rational Use of Drug; Pharmacy administration 20 11年以来，卫生部大力推进抗菌药物 物使用情况进行了回顾性分析，结果如下： 自 临床应用管理工作，开展为期3年的 “抗 菌药物专项整治活动”。社区卫生服务机构作为社 1 资料与方法 区居民的健康守门人，服务对象是最基层、最广泛 随机调取东城区社区卫生