15000张门诊处方抗菌药物联合应用调查分析

摘要

目的：调查中国医学科学院／北京协和医学院皮肤病医院（以下简称“我院”）门诊抗菌药物联合应用情况和存在的问题，为合理用药提供参考。方法：随机抽取我院2015年1—12月门诊处方15000张，对抗菌药物联合应用情况进行统计分析。结果：15000张门诊处方中，抗菌药物处方1755张，抗菌药物联合应用处方154张，抗菌药物联合应用率达8.8％（154／1755）；其中，二联用药率为8.5％（150／1755），三联用药率为0.2％（4／1755）。结论：抗菌药物的联合应用基本符合要求，有少数不合理的现象，需加强对抗菌药物联合应用的干预管理。%OBJECTIVE:To investigate the basic situation and existing problems of the combined use of antibiotics in Skin Hospital of Chinese Academy of Medical Sciences ( hereinafter referred to as “our hospital”) , so as to provide reference for the rational drug use .METHODS:15 000 outpatient prescriptions from Jan .to Dec.2015 were randomly extracted from our hospital , statistical analysis was conducted on combined use of antibiotics .RESULTS: Of the 15 000 outpatient prescriptions , antibiotics prescriptions were 1 755 cases, combined use of antibiotics were 154 cases, the rate of combined use of antibiotics was 8.8%(154/1 755);among which, the rate of combination of two drugs and three drugs were respectively 8.5%( 150/1 755 ) and 0.2%( 4/1 755 ).CONCLUSIONS: The combined use of antibiotics in our hospital is basically in line with the requirements , but there are still some irrational phenomenon .Therefore , clinical staff need to strengthen intervention management of the combined use of antibiotics .