首页|某医院2019~2022年抗菌药物临床不合理应用改进评价

某医院2019~2022年抗菌药物临床不合理应用改进评价

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目的 对抗菌药物临床不合理应用改进情况进行评价,为下一步改进提供参考.方法 从2019~2022 年出院患者使用抗菌药物的病历中,每月等比分层随机抽取50 或30 份病历进行点评,分析不合理应用改进成效.结果 共抽取2180 份病历,含抗菌药物医嘱4955 条,其中不合理病历464 份,合理率78.72%.不合理应用类型排名前三的分别是用药时间过长、切皮前>1h给药和药物选择不适宜.围手术期给药时机不适宜、越级使用抗菌药物等情况明显改善,用药时间过长、药物选择不适宜、无用药指征等情况仍应进一步改进.结论 抗菌药物临床应用管理应定期分析、评估,及时干预,持续改进.
Evaluation on Improvement of Clinical Unreasonable Application of Antibi-otics in a Hospital from 2019 to 2022
OBJECTIVE To evaluated the improvement in the clinical irrational use of antimicrobial drugs,pro-viding a reference for improvement.METHODS There were 30 or 50 discharge medical records of antibiotics per month from 2019 to 2022 for review,the improved effectiveness of unreasonable applications would be ana-lyzed.RESULTS A total of 2180 medical records were sampled,containing 4955 antimicrobial medication orders,there were 464 unreasonable medical records,the pass rate was 78.72%.The top three types of irrational applications were prolonged use of drugs,administered>1 hour prior to skin incision and inappropriate choice of drugs.Inappropriate timing of perioperative drug administration,use of antimicrobials beyond grade haved been significantly improved,prolonged use of drugs,inappropriate choice of drugs,no indication of drug use should still be further im-proved.CONCLUSION The management of the clinical use of antimicrobial drugs should be analyzed and evalua-ted regularly,with timely intervention and continuous improvement.

AntibioticsProphylactic applicationDuration of medication

陈剑锋

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泉州市正骨医院药学部,福建泉州 362000

抗菌药物 处方点评 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(4)
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