我院辖属农村社区卫生服务站干预前后抗菌药物应用合理性调研

发布时间：2018-05-15 19:16

本文选题：农村 + 社区卫生服务站　；参考：《中国药房》2015年36期

【摘要】：目的:为进一步促进农村社区卫生服务站合理应用抗菌药物提供参考。方法:抽取2012年1月1日-2014年12月31日我院辖属8个社区卫生服务站门诊处方4 800张进行调查,统计分析处方中抗菌药物的应用情况,比较采取行政干预措施与技术支持前后的指标情况。结果:2012-2014年,我院辖属社区卫生服务站使用抗菌药物处方占比由2012年的52.88%降至2014年的30.38%;使用抗菌药物处方中临床诊断以急性上呼吸道感染为主;使用最多的抗菌药物种类是头孢菌素;使用抗菌药物处方中不合理处方占比从2012年的43.50%(368/846)降至2014年的22.84%(111/486)。结论:技术与行政干预结合促进抗菌药物合理应用的成效显著,但不合理应用抗菌药物的现象仍然存在。因此,仍需加大干预力度,组织相关培训的同时将使用抗菌药物处方占比纳入绩效考核并加大该项指标权重,以进一步提高农村社区卫生服务站抗菌药物的使用水平。
[Abstract]:Objective: to provide reference for the rational application of antimicrobial agents in rural community health service stations. Methods: from January 1, 2012 to December 31, 2014, 4 800 outpatient prescriptions were collected from 8 community health service stations in our hospital, and the use of antimicrobial drugs in the prescriptions was statistically analyzed. Compare the indexes before and after administrative intervention and technical support. Results from 2012 to 2014, the proportion of antibiotics prescriptions in community health service stations of our hospital decreased from 52.88% in 2012 to 30.38% in 2014, and the clinical diagnosis of antimicrobial drugs was mainly acute upper respiratory tract infection. Cephalosporins are the most commonly used antimicrobial drugs; the proportion of irrational prescriptions in antimicrobial prescriptions dropped from 43.50% in 2012 to 22.84% in 2014, down from 36.8% / 846 in 2012. Conclusion: the combination of technical and administrative intervention can promote the rational use of antimicrobial agents, but the phenomenon of irrational use of antimicrobial agents still exists. Therefore, it is still necessary to strengthen intervention, organize relevant training and bring the proportion of prescription of using antimicrobial drugs into the performance appraisal and increase the weight of this index, so as to further improve the level of use of antibiotics in rural community health service stations.
【作者单位】：南方医科大学附属小榄医院;
【基金】：中山市第二批科技计划项目(No.20122A030)
【分类号】：R95

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