综合性医院门诊处方抗生素分析Analysis of antibiotic drugs in outpatient's prescriptions in a general hospital
叶锦标,郭林,谭恺昌,施淑萍,高燕灵
YE Jin-biao,GUO Lin,TAN Kai-chang,SHI Shu-ping,GAO Yan-ling (Dept.of Pharmacy
摘要(Abstract):
目的了解该院门诊各科室抗生素使用情况。方法随机抽取该院2004年7月~2005年月6月各科室门诊处方27950张,其中内科10544张,外科4253张,妇产科4247张,儿科4580张,五官科4326张,并对这些处方进行分析。结果在调查的处方中,抗菌处方10563张,占37.67%;抗菌处方抗生素平均金额为72.22元/张,占处方金额的48.83%;联合用药处方2166张,占抗菌处方的20.51%。结论该院门诊抗生素使用不尽合理,药物滥用现象比较严重。
Objective To investigate the usage of antibiotic drugs used in the outpatients of each department in a hospital.Methods 27950 prescriptions were randomly selected from July of 2004 to June of 2005.There were10544 prescriptions in the department of Internal medicine;Surgery(4253);Gynaecology and Obsterical(4247);Pediatrics department(4580);Facial feature department(4326).Then these prescriptions was analysised.Results There were10563 prescriptions containing antibiotics drugs of total prescriptions,accounted for 37.67%.The average expenditure of antibiotic drugs of each prescription was 72.22 yuan,accounted for 48.83% of the average expenditure of each prescription.There were 2166 prescriptions in drug combination,accounted for 20.51% of those prescriptions containing antibiotic drugs.Conclusion Antibiotics use is not rational in the hospital,and serious drug abuse may exist.
关键词(KeyWords):
抗菌药物;处方分析;药物滥用;不良反应;使用率
Antibiotic Drugs;Prescription Analysis;Drug Abuse;Adversed Drug Reaction(ADR);Rate of Utilization
基金项目(Foundation):
作者(Author):
叶锦标,郭林,谭恺昌,施淑萍,高燕灵
YE Jin-biao,GUO Lin,TAN Kai-chang,SHI Shu-ping,GAO Yan-ling (Dept.of Pharmacy
参考文献(References):
- [1]刘长庭.抗生素临床应用细菌耐药机制及其新药[J].药物与临床,2000,15(6):15.
- [2]张永信.实施《指导原则》促进临床抗生素合理使用[R].卫生部《抗生素临床应用指导原则》和《处方管理办法》学习班会议资料汇编.中华医院管理学会主办.中国.广州2004.1-2.
- [3]夏国俊.抗生素临床应用指导原则[M].北京:中国中医药出版社,2004.22-24,152.
- [4]吴安华.我国178所医院住院患者横断面抗生素使用率调查[J].中华医院感染杂志,2002,12(12):881-884.
- [5]申正义.湖北地区临床细菌耐药性监察结果[J].中华医院感染学杂志,2002,12(2):91-93.
- 抗菌药物
- 处方分析
- 药物滥用
- 不良反应
- 使用率
Antibiotic Drugs - Prescription Analysis
- Drug Abuse
- Adversed Drug Reaction(ADR)
- Rate of Utilization