分析我院儿科门诊用药现状促进临床合理用药

摘要

Objective:To explore the pediatric pharmacy in the outpatient of our hospital, which provide advice to promote rational drug use. Method :Randomly selected 1250 pieces of prescriptions which prescribed in department of Pediatrics in our hospital from January 2014~March 2014 for research, summarized and statistics on pediatric disease constituent ratio, prescription drug distribution and use of antibiotics, clearly the irrational drug usage in outpatient department of pediatrics. Results:In outpatient department of pediatrics disease was mainly above, lower respiratory tract infection, 61% (762/1250);antimicrobial drug use was 64% (800/1250), in which three generation cephalosporins drug use rate accounted for 18.75% (150/800); in 800 antibiotic prescriptions, 76% was oral Chinese patent medicine, was the highest use rate. 12% for injection, all were single drug. In irrational drug use, no indications of abuse of antibacterial drugs reached highest rate of 31%, followed by unreasonable selection of drug and repeated drug use. Conclusion:We use Chinese and Western medicine in outpatient department of pediatrics in our hospital, the antibiotic use rate is high, but the route of administration is relatively reasonable, three generation cephalosporin antibiotics selection account for 18.75%, use litter higher starting point, easily lead to the emergence of drug-resistant strains, must pay attention to.%目的：分析我院儿科门诊用药现状，为促进临床合理用药提供建议。方法：从我院儿科门诊2014年1～3月开具的处方中随机抽取1250张进行研究，对儿科疾病构成比、处方用药分布及抗菌药使用情况进行归纳统计，明确儿科门诊中不合理用药情况。结果：我院儿科门诊疾病以上、下呼吸道感染为主，占61.0%（762/1250）；抗菌药物使用率为64.0%（800/1250），其中三代头孢药物使用率占18.75%（150/800）；800张抗菌处方中，76%为口服中成药，使用率最高，12%为注射剂，均为单联用药。不合理用药以无指征滥用抗菌药物几率最高，达到31.0%，其次为选药不合理及重复用药。结论：我院儿科门诊用药做到中西药并重，抗菌药物使用率高，但给药途径相对合理，三代头孢抗菌药物选择占18.75%，用药起点偏高，易导致耐药菌，需引起注意。