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目的调查分析托里县人民医院临床抗菌药物使用情况。方法选取2015年6—12月托里县人民医院门诊、住院科室的西药处方500份。对涉及抗菌药物的处方数量、抗菌药物数量和种类、应用频度、抗菌药物联用情况进行分析。结果 500份处方中,涉及抗菌药物处方182份(36.4%),头孢菌素类、青霉素类、大环内酯类、氟喹诺酮类抗菌药物使用频率最高,分别为48.5%、20.3%、15.8%、7.2%。克拉霉素、青霉素钠、头孢氨苄缓释片使用频率最高,分别为47.3%、15.9%、13.7%。一联用药141份(77.5%),二联用药30份(16.5%),三联用药11份(6.0%)。二联用药主要以阿莫西林+青霉素为主,占9.0%。结论本院抗菌药使用较为合理,但是联合用药仍存在问题,还需要进一步加强抗菌药物使用管理,提高临床合理用药水平。
Objective To investigate the clinical use of antibacterial drugs in Tori County People’s Hospital. Methods From January to December 2015, 500 prescriptions of western medicine in Outpatient and Inpatient Department of Tori County People’s Hospital were selected. The number of antibiotics involved in prescriptions, the number and types of antibacterial drugs, frequency of application, antibacterials were analyzed. Results Of the 500 prescriptions, 182 (36.4%) prescriptions for antibacterial drugs were involved. The frequency of cephalosporins, penicillins, macrolides and fluoroquinolones was the highest (48.5%, 20.3%, 15.8% , 7.2%. Clarithromycin, penicillin sodium, cefalexin sustained-release tablets the highest frequency, respectively, 47.3%, 15.9%, 13.7%. A combined drug 141 (77.5%), two drugs 30 (16.5%), triple drug 11 (6.0%). The two drugs are mainly amoxicillin + penicillin, accounting for 9.0%. Conclusion The use of antibacterials in our hospital is more reasonable, but there are still some problems in the combination therapy. We also need to further strengthen the management of the use of antibacterials and improve the clinical rational use of drugs.