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目的了解医院急诊处方抗菌药物的应用情况,为急诊合理用药提供参考。方法随机抽取2013年1~12月12 000张急诊处方,统计分析抗菌药物的应用情况。结果抗菌药处方4 309张,使用率为35.90%,符合要求,但仍存在注射剂使用比例高、个别品种滥用、用药不适宜等情况。结论对于急诊科存在的不合理使用抗菌药,医院要进一步加强对急诊科的监管力度,增加急诊科抗菌药处方专项点评,强化医师合理使用抗菌药物的意识,这样才能提高抗菌药合理使用水平。
Objective To understand the application of emergency prescription antibiotics in hospitals and provide reference for rational use of drugs in emergency. Methods Twelve thousand emergency prescriptions were randomly selected from January to December in 2013, and the application of antibacterials was statistically analyzed. Results 4 309 antibacterial prescriptions were used, with a utilization rate of 35.90%, which met the requirements, but there was still a high proportion of injections used, abuse of individual varieties, inappropriate medication, and so on. Conclusions For the irrational use of antibacterials in the emergency department, the hospital should further strengthen the supervision of the emergency department, increase the prescription of antibacterials in the emergency department, and strengthen the awareness of rational use of antibacterials by the physicians in order to improve the rational use of antibacterials.