我院抗菌药物临床应用专项整治前后门诊处方中抗菌药物使用.PDFVIP

我院抗菌药物临床应用专项整治前后门诊处方中抗菌药物使用的对比分析 ＊ 滕丽克 ，温红萍（山西省人民医院药学部，太原 030012） 中图分类号 R969.3 文献标志码 A 文章编号 1001-0408（2013）46-4342-03 DOI 10.6039/j.issn.1001-0408.2013.46.08 摘 要 目的：分析某院抗菌药物临床应用专项整治前后门诊处方中抗菌药物的使用情况，了解整治效果。方法：随机抽取该院 2010、2012年每月15日的门诊处方，共24000张，进行分析对比。结果：2012年抗菌药物使用率为17.55％，较2010年降低了 11.06％；处方合格率95.39％，较专项整治前提高了9.35％；使用品种数由整治前的29种减少至24种；联合用药由整治前的 42.15％下降至16.57％；各种不合理应用均有降低。结论：在抗菌药物专项整治中，药学部干预措施取得了一定的效果。 关键词 专项整治；抗菌药物；处方分析；药学干预 Comparative Analysis of Clinical Use of Antibiotics in Outpatient Prescriptions in Our Hospital before and after Special Rectification TENG Li-ke ，WEN Hong-ping （Dept. of Pharmacy ，Shanxi Provincial People ’s Hospital ，Taiyuan 030012，China ） ABSTRACT OBJECTIVE ：To analyze clinical use of antibiotics in outpatient prescriptions in a hospital before and after special rectification ，and to investigate the effects of special rectification. METHODS ：24 000 outpatient prescriptions were randomly se- lected from the hospital on 15th every month in 2010 and 2012 for analysis and comparison. RESULTS ：The utilization rate of anti- biotics was 17.55％in 2012 and decreased by 11.06％，compared with in 2010. The pass rate of prescriptions was 95.39％and in- creased by 9.35％，compared with before special rectification. The number of varieties reduced from 29kinds before rectification to 24 kinds after rectification ；the rate of drug combination decreased from 42.15％before rectification to 16.57％after rectification ； various unreasonable use of antibiotics were reduced. CONCLUSIONS ：For special rectification of antibiotics ，intervention mea- sures of pharmacy department obtain achievement. KEY WORDS Special rectification ；Antibiotics ；Analysis of prescriptions ；Pharmaceutical intervention 院，多是急性发病期和疾病病程较重的患者，使用抗精神病药 可选择具有镇静作用的抗抑郁药解决失眠障碍。 时，往往需要联