今日药学

2020, v.30(05) 352-355

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某院儿科门诊抗菌药物处方点评与分析
Analysis of Antibiotics Use in Pediatric Outpatients of a Hospital

邹刚玲;梁峰华;袁意敬;邹秩鑫;
ZOU Gangling;LIANG Fenghua;YUAN Yijing;ZOU Zhixin;Foshan Nanhai District People 's Hospital;The 6th People's Hospital of Foshan Nanhai District;

摘要(Abstract):

目的了解某院儿科门诊抗菌药物的使用情况,为儿科门诊合理应用抗菌药物提供用药参考。方法随机抽查该院2018年7~12月儿科门诊使用抗菌药物处方816张,根据相关点评标准和细则,对抗菌药物使用合理性进行分析评价。结果 816张处方共涉及27种疾病的临床诊断,病种以呼吸系统感染性疾病为主,占93.38%;使用药物以头孢菌素类为主,共使用677例,占82.97%。抗菌药物处方以一联用药为主,占83.09%,二联用药处方占16.91%。不合理处方274例(占33.58%),不合理项主要为无指征用药(40.88%)、用法用量不合理(29.56%)、遴选药物不适宜(25.55%)和剂型选用不合理(9.12%)。结论该院儿科门诊抗菌药物仍存在较多不合理使用情况,需进一步加强抗菌药物合理应用以保障患儿用药的安全性和有效性。
OBJECTIVE To investigate the use of antibiotics in pediatric outpatients in a hospital,so as to provide references for rational use of antibiotics.METHODS A total of 816 prescriptions of antibiotics in the pediatric outpatients from July 2018 to December 2018 were randomly extracted and evaluated according to the related standards and rules.RESULTS Clinical diagnoses of 27 kinds of diseases were involved in the 816 prescriptions,and respiratory infections accounted for 93.38%.The most common used antibiotics were cephalosporins,accounted for 82.97%.There were 678 cases( 83.09%) of single-drug prescriptions,and 138 cases( 16.91%) of combined-drug prescriptions.There were 274 irrational prescriptions,mainly including no indications( 40.88%),unreasonable usage( 29.56%),inappropriate choice of drug( 25.55%),and irrational dosage form( 9.12%).CONCLUSION There are still many unreasonable antibiotic use in the pediatric outpatient department.Further intervention needs to be reinforced on its administration to ensure antibiotic use safely and effectively.

关键词(KeyWords): 儿科门诊;抗菌药物;合理用药;处方审核
pediatric outpatients;antibiotics;rational administration of drug;prescription audit

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作者(Author): 邹刚玲;梁峰华;袁意敬;邹秩鑫;
ZOU Gangling;LIANG Fenghua;YUAN Yijing;ZOU Zhixin;Foshan Nanhai District People 's Hospital;The 6th People's Hospital of Foshan Nanhai District;

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