首页|"特殊使用级"抗菌药物223例用药情况分析

"特殊使用级"抗菌药物223例用药情况分析

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目的 分析我院特殊使用级抗菌药的临床用药情况,为合理化、规范化使用特殊使用级抗菌药提供参考。方法 随机抽取2020年1月至2021年12月我院药剂科特殊使用级抗菌药物会诊资料223份,从会诊患者情况、特殊使用级抗菌药用药情况以及是否进行微生物送检情况等方面对我院特殊使用级抗菌药物的使用情况进行合理性分析。结果 61~75岁与76~90岁年龄段的患者对特殊使用级抗菌药的使用需求较大(分别占比34。53%与30。94%);血液内科的特殊使用级抗菌药使用频率最高(占比 26。91%),其次是呼吸与危重症医学科和肾脏科;以单联用药为主(占比 78。92%);使用频次最高的是美培罗南(占比 61。36%);特殊使用级抗菌药使用前的微生物送检率达到了 96。41%;联合用药存在少许不合理现象。结论 我院特殊使用级抗菌药物的临床用药基本合理,但仍需加强规范,进一步提高特殊使用级抗菌药使用的合理性与有效性。
Analysis of 223 cases of "special class" antibacterial drugs
Objective To analyze the clinical use of special class antibacterial drugs in our hospital,and to provide reference for rational and standardized use of special class antibacterial drugs.Methods The 223 consultation data of special class antibacterial drugs in the pharmacy department of our hospital from January 2020 to December 2021 were randomly selected,and the rationality of the use of special class antibacterial drugs in our hospital was analyzed from the aspects of consultation patients,the use of special class antibacterial drugs and whether microbial inspection was carried out.Results Patients aged 61-75 years old and 76-90 years old had a greater demand for the use of special class antibacterial drugs(accounted for 34.53%and 30.94%respectively).The use frequency of special class antibacterial drugs in hematology department was the highest(accounted for 26.91%),followed by respiratory and critical care medicine department and nephrology department.Single drug use was the main method(accounted for 78.92%).The most frequently used drug was meropenem(accounted for 61.36%).The microbial submission rate before the use of special class antibacterial drugs reached 96.41%.There were a few unreasonable phenomena in the combination of drugs.Conclusion The clinical use of special class antibacterial drugs in our hospital is basically reasonable,but it is still necessary to strengthen the standardization and further improve the rationality and effectiveness of the use of special class antibacterial drugs.

special class antibacterial drugsanalysis of drug userational application

杨颜霞

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无锡市新吴区新瑞医院/上海交通大学医学院附属瑞金医院无锡分院,江苏 无锡,214028

特殊使用级抗菌药 用药分析 合理应用

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(9)
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