某院2018年特殊使用级抗菌药物临床用药的相关因素分析
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摘要
目的:分析2018年医院特殊使用级抗菌药物临床用药的相关因素。方法:抽取2018年1月—2018年12月间医院特殊使用级抗菌药物的临床使用的80例患者相关数据,统计其患者使用的药品名称、规格、用量、金额和科室分布,分析其抗菌药物的使用情况。结果:2018年医院特殊使用级抗菌药物的用量及其销售金额均以注射用美罗培南为最多,注射用亚胺培南-西司他丁钠为最少;特殊级抗菌药物常被用于重症监护室、关节科、血液肿瘤科、急诊留观、综合内科、外科、康复科、脊椎科及创伤骨科,且除血液肿瘤科外,其余科室均为单一用药;在随机抽取的80例患者中,有细菌培养13例占16.25%,处方医生不具有高级专业技术职称16例占20.00%。结论:医院特殊使用级抗菌药物的使用仍存在较为严重的不合理用药现象,仍需进一步加强管理。
Objective: To analyze the related factors of clinical medication of special-grade antibacterial drugs in a hospital in 2018. Methods: Relevant data of 80 patients with clinical use of special grade antibacterial drugs in hospitals from January 2018 to December 2018 were extracted. The name, specification, dosage, amount and department distribution of the drugs used by the patients were counted, and the use of antibacterial drugs was analyzed. Results: In2018, the dosage and sales amount of the hospital's special-use grade antibacterial drugs were the highest with meropenem for injection, and the lowest with imipenem sistatin sodium for injection. Special grade antibacterial drugs were commonly used in the intensive care unit, joint department, hematological oncology department, emergency room observation, general medicine department, surgery department, rehabilitation department, spinal department and orthopaedic trauma department. In addition to hematological oncology department, other departments were single drug use. Among the 80 randomly selected patients, 13 patients had bacterial culture, accounting for 16.25%, and 16 doctors without senior professional titles, accounting for 20.00%. Conclusion: There are still serious unreasonable drug use phenomena in the use of special-use grade antibiotics in hospitals, which still need further strengthening management.
Objective: To analyze the related factors of clinical medication of special-grade antibacterial drugs in a hospital in 2018. Methods: Relevant data of 80 patients with clinical use of special grade antibacterial drugs in hospitals from January 2018 to December 2018 were extracted. The name, specification, dosage, amount and department distribution of the drugs used by the patients were counted, and the use of antibacterial drugs was analyzed. Results: In2018, the dosage and sales amount of the hospital's special-use grade antibacterial drugs were the highest with meropenem for injection, and the lowest with imipenem sistatin sodium for injection. Special grade antibacterial drugs were commonly used in the intensive care unit, joint department, hematological oncology department, emergency room observation, general medicine department, surgery department, rehabilitation department, spinal department and orthopaedic trauma department. In addition to hematological oncology department, other departments were single drug use. Among the 80 randomly selected patients, 13 patients had bacterial culture, accounting for 16.25%, and 16 doctors without senior professional titles, accounting for 20.00%. Conclusion: There are still serious unreasonable drug use phenomena in the use of special-use grade antibiotics in hospitals, which still need further strengthening management.
引文
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[3]郑晨,何晓静,菅凌燕.细菌耐药性及特殊使用级抗菌药物使用情况分析[J].中国临床药理学杂志,2018,34(14):1700-1702.
[4]谢经,谭喜莹,姚毅,等.中医医院住院患者特殊使用级抗菌药物应用分析[J].中国医药导报,2018,15(5):49-53.
[5]周存霞,侯超,蒋媛.2017年天津市人民医院住院患者特殊使用级抗菌药物的使用情况分析[J].现代药物与临床,2018,33(12):3366-3370.
[6]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.
[7]邵凤.2013—2016年重庆医科大学附属第二医院特殊使用级抗菌药物应用分析[J].中国医院用药评价与分析,2017,17(10):1395-1398.
[8]高兰,田刚,李昊,等.院患者特殊使用级抗菌药物应用分析[J].中华医院感染学杂志,2016,26(23):5392-5394.