Investigation and Analysis of Azithromycin Prescriptions in Outpatient Department of a Hospital
Objective:To investigate the clinical characteristics of azithromycin prescriptions in the outpatient department of a hospital and conduct special comments on azithromycin prescriptions,and provide reference for the clinical rational use of azithromycin.Methods:By using the hospital information system,190 729 prescriptions from the outpatient department of Changshu No.1 People's Hospital from August 1 to October 31,2023 were retrieved as the research materials,and the information in the prescriptions such as patient's age,gender,department,diagnosis,type,quantity and amount of drugs was collected,and special comments on azithromycin prescriptions were performed according to the Measures on Administration of Prescriptions,the Management Standard of Comments on Hospital Prescriptions(Trial),package inserts and related treatment guidelines and other authoritative data,to analyze the clinical characteristics and irrational use of azithromycin prescriptions.Results:Among 190 729 prescriptions,there were 23 780 prescriptions for antibacterial drugs,including 4 968 azithromycin prescriptions(20.89%),and the dosage form of azithromycin was mainly dry suspension(3 588 prescriptions,72.22%).Among 4 968 azithromycin prescriptions,in terms of department distribution,the pediatrics department and neonatology department were dominated(4 340 prescriptions,87.36%);in terms of age distribution,minors(below 18 years old)were dominated(4 455 prescriptions,89.67%);in terms of diagnosis of patients,respiratory diseases were dominated(4 409 prescriptions,88.75%);in terms of quantity of drugs,2 types(1 548 prescriptions,31.16%)and 3 types(1 172 prescriptions,23.59%)were dominated;in terms of drug amount,antibacterial drugs(172 046 yuan,28.01%)and Chinese patent medicines(164 478 yuan,26.78%)were dominated.Among 4 968 azithromycin prescriptions,there was combination with other antibacterial drugs in 510 prescriptions,of which combination with cephalosporins was the most(492 prescriptions,96.47%).The comments on prescriptions revealed that 330 prescriptions contained irrational drug use(irrational rate of 6.64%),of which the main irrational reasons were more than 5 types of prescription drugs(137 prescriptions,41.52%)and inappropriate usage and dosage(94 prescriptions,28.48%).Conclusion:Azithromycin is widely used in the outpatient department of hospital,and the overall medication is rational,nut the extraordinary prescription is more prominent.Therefore,relevant training and management should be strengthened in hospitals to improve the level of clinical rational drug use.
azithromycinoutpatient prescriptionmedication characteristicsrational drug use
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