2017—2018年我院抗菌药物不合理使用情况分析
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摘要
目的分析2017—2018年我院抗菌药物不合理使用情况。方法从我院信息系统收集原始资料,分析我院2017—2018年我院抗菌药物不合理使用情况。结果 2017—2018年我院抗菌药物使用600个处方中,不合理使用188个,不合理使用率为31.33%,其中门诊主要为综合内科,不合理使用率39.29%;其次为结核内科和外科,不合理使用率均为23.81%;再次为妇科,不合理使用率11.90%;最后为中西医结合科,不合理使用率1.19%。住院主要为结核内科,不合理使用率为65.38%;其次为综合内科、外科和妇科、中西医结合科,不合理使用率分别为12.50%、11.54%、10.58%。2017—2018年我院抗菌药物不合理使用途径主要为不规范处方、不适宜处方及超常处方,其中门诊120个,住院123个,单张处方可能同时存在多个药物使用不合理。结论应对2017—2018年我院存在抗菌药物不合理使用情况给予重视,应对我院培训医护人员及监督与管理不合理用药的力度进行强化,从而为临床合理使用抗菌药物提供良好的前提条件。
Objective To analyze the irrational use of antimicrobials in our hospital from 2017 to 2018. Methods The original data were collected from our information system in hospital, and the irrational use of antimicrobials in our hospital from 2017 to 2018 was analyzed. Results Of the 600 prescriptions for antimicrobials used in our hospital from 2017 to 2018, 188 prescriptions were unreasonably used, and the irrational use rate was 31.33%. The main outpatient department was lomprehensine internal medicine deportment, with the irrational use rate of 39.29%; followed by tuberculosis internal medicine department and surgery, with the irrational use rate of 23.81%; the third was gynecology department, with the irrational use rate of 11.90%;the last was integrated department, and the irrational use rate was 1.19%. The main hospitalization was tuberculosis internal medicine department, with an irrational use rate of 65.38%, followed by comprehensive internal medicine department, surgery department and gynecology department, integrated traditional Chinese and western medicine department, with irrational use rate of 12.50%, 11.54% and 10.58% respectively. From 2017 to 2018, the irrational use of antimicrobials in our hospital mainly included non-standard prescriptions, unsuitable prescriptions and supernormal prescriptions, of which 120 cases were outpatients and 123 cases were hospltalized. There might be multiple irrational use of antimicrobials in single prescription. Conclusion From 2017 to 2018, we should pay more attention to the irrational use of antimicrobials in our hospital. It should strengthen the training of medical staff and supervision and management of irrational use of antimicrobials in our hospital, so as to provide good preconditions for rational use of antimicrobials in clinic.
Objective To analyze the irrational use of antimicrobials in our hospital from 2017 to 2018. Methods The original data were collected from our information system in hospital, and the irrational use of antimicrobials in our hospital from 2017 to 2018 was analyzed. Results Of the 600 prescriptions for antimicrobials used in our hospital from 2017 to 2018, 188 prescriptions were unreasonably used, and the irrational use rate was 31.33%. The main outpatient department was lomprehensine internal medicine deportment, with the irrational use rate of 39.29%; followed by tuberculosis internal medicine department and surgery, with the irrational use rate of 23.81%; the third was gynecology department, with the irrational use rate of 11.90%;the last was integrated department, and the irrational use rate was 1.19%. The main hospitalization was tuberculosis internal medicine department, with an irrational use rate of 65.38%, followed by comprehensive internal medicine department, surgery department and gynecology department, integrated traditional Chinese and western medicine department, with irrational use rate of 12.50%, 11.54% and 10.58% respectively. From 2017 to 2018, the irrational use of antimicrobials in our hospital mainly included non-standard prescriptions, unsuitable prescriptions and supernormal prescriptions, of which 120 cases were outpatients and 123 cases were hospltalized. There might be multiple irrational use of antimicrobials in single prescription. Conclusion From 2017 to 2018, we should pay more attention to the irrational use of antimicrobials in our hospital. It should strengthen the training of medical staff and supervision and management of irrational use of antimicrobials in our hospital, so as to provide good preconditions for rational use of antimicrobials in clinic.
引文
[1]丁楠,朱青芳,马运芳,等.新疆某三甲医院2014-2016年住院患者特殊使用级抗菌药物应用分析[J].中国医药导报,2017,14(32):124-127,132.
[2]史卫忠,王莉文,赵志刚,等.2011-2013年北京市三级医院抗菌药物专项整治进展分析[J].临床药物治疗杂志,2014,12(5):21-26.
[3]区林华,黄爱娟,邓雄强.2014-2016年茂名市电白区人民医院抗菌药物应用分析[J].中国医院用药评价与分析,2017,17(9):1250-1253.
[4]刘琨,刘蜀宝.《新编药物学》(第17版)简评[J].中南药学,2014(9):940-942.
[5]徐仿周,肖平,何光明,等.抗菌药物专项整治活动前后北京大学深圳医院抗菌药物应用分析[J].中国医院用药评价与分析,2015,15(5):652-655.
[6]杨帆.《抗菌药物临床应用指导原则(2015年版)》解读[J].中华临床感染病杂志,2016,9(5):390-393.
[7]YUSEF D,BABAA AI,BASHAIREH AZ,et al.Knowledge,practices&attitude toward antibiotics use and bacterial resistance in Jordan:a cross-sectional study[J].Infect Dis Health,2018,23(1):33-40.
[8]BANO R,ARSALAN A.In vitro antibacterial susceptibility of different brands of oral levofloxacin 250 mg tablet against Staphylococcus aureus and Escherichia coli[J].Pak J Pharm Sci,2018,31(6):2529-2535.
[2]史卫忠,王莉文,赵志刚,等.2011-2013年北京市三级医院抗菌药物专项整治进展分析[J].临床药物治疗杂志,2014,12(5):21-26.
[3]区林华,黄爱娟,邓雄强.2014-2016年茂名市电白区人民医院抗菌药物应用分析[J].中国医院用药评价与分析,2017,17(9):1250-1253.
[4]刘琨,刘蜀宝.《新编药物学》(第17版)简评[J].中南药学,2014(9):940-942.
[5]徐仿周,肖平,何光明,等.抗菌药物专项整治活动前后北京大学深圳医院抗菌药物应用分析[J].中国医院用药评价与分析,2015,15(5):652-655.
[6]杨帆.《抗菌药物临床应用指导原则(2015年版)》解读[J].中华临床感染病杂志,2016,9(5):390-393.
[7]YUSEF D,BABAA AI,BASHAIREH AZ,et al.Knowledge,practices&attitude toward antibiotics use and bacterial resistance in Jordan:a cross-sectional study[J].Infect Dis Health,2018,23(1):33-40.
[8]BANO R,ARSALAN A.In vitro antibacterial susceptibility of different brands of oral levofloxacin 250 mg tablet against Staphylococcus aureus and Escherichia coli[J].Pak J Pharm Sci,2018,31(6):2529-2535.