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我院抗菌药物专项点评结果与分析

Results and Analysis of Special Evaluation on Antibacterial Drugs in Our Hospital

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目的 通过对我院抗菌药物处方用药情况进行专项点评分析,对不合理用药处方进行干预,提高处方合理率,促进临床合理用药.方法 以回顾性调查研究的方法,对我院2021年1月~2022年12月门诊2400张抗菌药物处方和住院使用抗菌药物病历共1163份进行点评,将点评结果进行分析.结果 2021年不合理应用抗菌药物门诊处方和住院病历总数94份,占抽取处方和病历总数比例5.55%;2022年不合理应用抗菌药物门诊处方和住院病历总数67份,占抽取的处方和病历总数比例3.58%.2022年与2021比较,处方及病历医嘱不合理率下降2.03%,处方医嘱合格率明显提高.结论 我院门诊及住院抗菌药物专项点评经过前置审核、药师人工干预和行政管理多重干预措施后抗菌药物使用不合理率有所下降,但仍存在不合理使用现象,需继续加强干预管理,不断提高临床合理用药.
OBJECTIVE To conduct a special evaluation and analysis of the use of antibacterial drug prescrip-tions in our hospital,intervene in unreasonable drug use prescriptions,improve the rational rate of prescriptions,and promote clinical rational drug use.METHODS A retrospective survey was conducted to evaluate a total of 2400 outpatient prescriptions and 1163 inpatient records of antimicrobial use in our hospital from January 2021 to Decem-ber 2022.The evaluation results were analyzed.RESULTS In 2021,there were 94 outpatient prescriptions and in-patient medical records for irrational use of antibiotics,accounting for 5.55%of the total number of prescriptions and medical records extracted;In 2022,there were a total of 67 outpatient prescriptions and inpatient medical records for irrational use of antibiotics,accounting for 3.58%of the total prescriptions and medical records extracted.Compared with 2021,the unreasonable rate of prescriptions and medical records decreased by 2.03%in 2022,and the qualified rate of prescription medical orders significantly increased.CONCLUSION After pre-audit,manual intervention by pharmacists,and administrative management measures,the irrational use of antibiotics in our outpatient and inpatient special evaluation of antibiotics has decreased.However,there are still irrational use phenomena,and it is necessary to continue to strengthen intervention management and continuously improve clinical rational use.

Special reviewPrescription reviewAntibacterial drugsRational use

蔡孙淑芳、邓美云

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章州市人民医院药剂科,福建漳州 363000

专项点评 处方点评 抗菌药物 合理用药

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(1)
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