我院2012-2014年抗菌药物医嘱点评分析

发布时间：2018-04-23 07:09

本文选题：抗菌药物 + 医嘱点评　；参考：《中国药房》2015年35期

【摘要】：目的:为临床合理使用抗菌药物提供参考。方法:从我院2012-2014年所有出院病历中,每月随机抽取17个临床科室各5份出院患者病历进行医嘱点评,2012、2013、2014年各抽取病历1 005、1 020、1 020份,共计3 045份。分析抗菌药物使用的合理性,对不合理用药问题进行归纳。结果:2012-2014年抗菌药物使用率分别为39.90%、36.27%、32.84%,抗菌药物医嘱合理率分别为40.90%、68.11%、82.67%。不合理用药主要表现为用药时机不合理、药物选择不合理、适应证不适宜、遴选的药品不适宜、用法用量不适宜、联合用药不适宜、超说明书用药等。结论:通过临床药师的"事前干预"和医院行政部门的"行政干预",我院病区抗菌药物的使用趋于合理,但仍需加强意识与管理,有效保障患者的用药安全。
[Abstract]:Objective: to provide reference for rational use of antimicrobial agents in clinic. Methods: 5 medical records of discharged patients were randomly selected from 17 clinical departments in our hospital from 2012 to 2014 to evaluate their medical orders from 2012 to 2013, and 1 020 medical records from 1 020 to 1 020 from 2014 to 2014. A total of 3 045 medical records were collected. The rationality of the use of antimicrobial agents is analyzed, and the problem of irrational use of antibiotics is summarized. Results in 2012-2014, the utilization rate of antimicrobial agents was 39.90 and 36.27, respectively. The rational rate of antimicrobial orders was 40.90 and 68.113.67, respectively. The main manifestations of irrational use of drugs are unreasonable timing, unreasonable choice of drugs, inappropriate indications, inappropriate selection of drugs, inappropriate usage of drugs, inappropriate combined use of drugs, and overuse of instructions, and so on. Conclusion: the use of antimicrobial drugs in our hospital tends to be reasonable through the "prior intervention" of clinical pharmacists and the "administrative intervention" of hospital administrative departments, but it is still necessary to strengthen the consciousness and management to ensure the safety of drug use of patients.
【作者单位】：贵州省肿瘤医院药剂科;
【分类号】：R95

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