某院门急诊抗菌药物处方点评效果评价

发布时间：2018-10-08 09:39

【摘要】：目的:为门诊抗菌药物临床合理使用提供参考。方法:采用回顾性分析方法,随机抽取某院2013-2014年门、急诊抗菌药物处方进行统计、分析,并采用限定日剂量法对抗菌药物的使用频度(DDDs)进行分析。结果:通过处方点评,2013-2014年,该院抗菌药物使用率从13.8%下降至11.9%;抗菌药物处方不合理率从2.7%下降至1.2%。儿科、急诊科、泌尿科抗菌药物使用率较高;感染科、肾内科、急诊科人均药品费用较高。2014年较2013年儿科抗菌药物使用率大幅下降,维持在40%左右;2014年1-9月急诊科抗菌药物使用率低于2013年同期,2014年1-9月全院抗菌药物使用率低于2013年同期,10-12月则略高于2013年同期。门诊抗菌药物以单一用药为主,2013、2014年占所有抗菌药物处方比例分别为91.50%、90.77%,二联用药分别占8.44%、9.11%。2013-2014年DDDs排名前3位的抗菌药物均为罗红霉素、头孢呋辛和头孢克肟。结论:该院抗菌药物的使用符合《2013年全国抗菌药物临床应用专项整治活动方案》要求。通过处方点评,该院门诊抗菌药物处方质量和合理使用的各项指标得到很大改善,但个别科室还存在抗菌药物使用率偏高的情况;仍存在使用不合理现象。
[Abstract]:Objective: to provide reference for rational use of antibiotics in outpatient clinic. Methods: the prescriptions of antimicrobial drugs were selected randomly from a hospital in 2013-2014 and analyzed by retrospective analysis. The frequency of antimicrobial agents was analyzed by the method of limited daily dose (DDDs). Results: from 2013 to 2014, the utilization rate of antimicrobial agents decreased from 13.8% to 11.9%, and the irrational rate of antimicrobial prescriptions decreased from 2.7% to 1.2%. Paediatrics, emergency department, urology department, antibiotics use rate is higher; infection department, kidney medicine department, emergency department per capita drug cost is higher. 2014 compared with 2013 paediatric antimicrobial drug use rate drop sharply, The use rate of antimicrobial drugs in emergency department was lower than in the same period of 2013, and the utilization rate of antibiotics in the whole hospital was lower than that in the same period of October and December of 2013, which was slightly higher than that in the same period of 2013. In 2014, the proportion of antimicrobial drugs in all prescriptions was 91.50 and 9.11 respectively, and the two drugs accounted for 8.449.11.The top 3 antibiotics in the DDDs in 2013-2014 were roxithromycin, cefuroxime and cefixime, respectively, in 2013 and 2014, the proportion of antibiotics was 91.50 and 8.449.11. the top three antimicrobials in DDDs in 2013-2014 were roxithromycin, cefuroxime and cefixime. Conclusion: the use of antimicrobial drugs in our hospital is in line with the requirements of the 2013 National Program for the treatment of Antimicrobial Clinical Application. Through prescription evaluation, the quality of antibiotics prescription and the indexes of rational use of antimicrobial drugs in outpatient department of our hospital have been greatly improved, but the situation of high utilization rate of antimicrobial drugs still exists in some departments, and there is still unreasonable phenomenon in the use of antimicrobial drugs.
【作者单位】： 西安交通大学第一附属医院药学部;
【分类号】：R969.3
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本文编号：2256298