陕西省基层医疗机构门诊抗菌药物使用情况分析

发布时间：2018-06-28 20:42

本文选题：基层医疗机构 + 门诊　；参考：《中国药事》2016年03期

【摘要】：目的:了解陕西省基层医疗机构门诊抗菌药物的使用现状,为指导临床合理使用抗菌药物提供参考。方法:于2013年4至5月,随机抽取陕西省6个地市54家基层医疗机构的门诊处方共4680份,采用回顾性调查方法对抗菌药物使用率、抗菌药物联用率及上呼吸道感染(简称"上感")病症抗菌药物使用情况进行统计分析。结果:4680份处方中,抗菌药物使用率为42.7%;抗菌药物联用率为9.5%;966份"上感"病症处方中大多(60.7%)开具了抗菌药物;不同地域(P=0.001)及不同类别医疗机构(P0.001)抗菌药物使用情况均存在差异;不同地域(P=0.002)及不同类别医疗机构(P0.001)抗菌药物联用情况均存在差异;不同类别医疗机构(P0.001)中,"上感"病症的抗菌药物使用情况也存在差异。结论:陕西省基层医疗机构门诊抗菌药物使用存在不合理现象,应进一步提高抗菌药物合理使用意识,规范医生处方行为,提高临床合理使用抗菌药物水平。
[Abstract]:Objective: to understand the current situation of the use of antibiotics in outpatients of primary medical institutions in Shaanxi Province, and to provide a reference for guiding the rational use of antibiotics in clinic. Methods: from April to May 2013, 4680 prescriptions were randomly selected from 54 primary medical institutions in 6 cities of Shaanxi Province, and the utilization rate of antimicrobial agents was investigated retrospectively. The combined use rate of antimicrobial agents and the use of antimicrobial agents in upper respiratory tract infection (referred to as "upper respiratory tract infection") were statistically analyzed. Results the usage rate of antimicrobial agents was 42.7% in the 4680 prescriptions, and the combined rate of antibiotics was 9.595% (60.7%) in 966 prescriptions for "Shanggan" disease, and there were differences among different regions (P0.001) and different kinds of medical institutions (P0.001) in the use of antimicrobial agents. In different regions (P0. 002) and different types of medical institutions (P0.001), there were differences in the use of antimicrobial agents in different medical institutions (P0.001), as well as in different types of medical institutions (P0.001). Conclusion: there is an unreasonable phenomenon in the use of antibiotics in outpatients of primary medical institutions in Shaanxi Province. It is necessary to further improve the consciousness of rational use of antibiotics, standardize the prescription behavior of doctors, and improve the level of rational use of antibiotics in clinic.
【作者单位】：西安交通大学药学院药事管理与临床药学系;西安交通大学药品安全与政策研究中心;
【基金】：国家自然科学基金项目(编号71473192) 美国中华医学基金会OC公开竞标项目(编号14-196) 西安交通大学“青年拔尖人才支持计划”项目;西安交通大学青年教师跟踪支持项目(编号2015qngz05) 中央高校基本科研业务费专项资金资助项目(编号sk2014041)
【分类号】：R969.3

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