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廖婧,徐静.我院门急诊抗菌药物处方点评分析[J].中国医药科学,2021,11(2):154-157        基金项目:
我院门急诊抗菌药物处方点评分析
Review and analysis of antibiotics prescription admitted to the departments of outpatient and emergency in our hospital
  
DOI:
中文关键词:  抗菌药处方;处方点评;合理用药;不合理处方
英文关键词:Prescription of antibacterial drugs; Prescription review; Rational medication; Irrational prescription
作者单位
廖婧,徐静 北京王府中西医结合医院药剂科,北京 102209 
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中文摘要:
      [摘要] 目的 分析北京王府中西医结合医(我院)2019 年门急诊抗菌药物存在的问题,并对不合理用药情况 进行分析探讨,以提高处方质量,促进抗菌药物合理用药。 方法 利用我院的计算机系统软件,收集 2019 年 1— 12 月门急诊抗菌药物专项点评处方共 6099 张,统计不合理处方,分析抗菌药物不合理使用的情况。 结 果 不合理处方共 195 张,抗菌药物处方合理率为 96.80%,门诊平均抗菌药物使用率为 6.58%,急诊平均抗 菌药物使用率为 16.44%,用法用量不适宜 109 张,适应证不适宜 64 张,遴选的药品不适宜 15 张,药品剂型 或给药途径不适宜 3 张,配伍禁忌或不良相互作用的 10 张,重复给药 1 张。抗菌药物不合理处方主要分布 于心血管内科、发热门诊、急诊、脾胃科、推拿科等。 结论 我院 2019 年门急诊抗菌药物使用基本合理,但仍 存在不合理用药情况,应针对存在的问题做出改进。
英文摘要:
      [Abstract] Objective To analyze the existing problems of antibiotics admitted to the departments of outpatient and emergency in Beijing Royal Integrative Medicine Hospital(our hospital) in 2019, and to analyze and investigate the irrational medication of antibiotics, so as to improve the prescription quality and promote the rational medication of antibiotics. Methods The computer system software of our hospital was used, and a total of 6099 prescriptions of antibacterial drugs were collected from January to December 2019. The irrational prescriptions were counted, and the irrational medication of antibacterial drugs was analyzed. Results There were 195 irrational prescriptions, the rational rate of prescriptions on antibacterial drugs was 96.80%, the average utilization rate of antibacterial drugs in department of outpatient was 6.58%, and that in department of emergency was 16.44%. There were 109 unsuitable prescriptions on usage and dosage, 64 unsuitable prescriptions on indications, 15 unsuitable prescriptions on selected drugs, 3 unsuitable prescriptions on drug dosage form or route of administration, 10 unsuitable prescriptions on incompatible or adverse interaction, and 1 unsuitable prescription on repeated administration Unreasonable prescriptions of antimicrobial agents are mainly distributed in cardiovascular medicine, fever clinic, emergency department, spleen and stomach department, massage department ,etc. Conclusion The medication of antibiotics admitted to the departments of outpatient and emergency in our hospital in 2019 is basically rational, but there is still irrational medication, so we should make improvements in view of the existing problems.
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