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目的:分析我院抗菌药物医嘱使用情况,评估我院病区抗菌药物用药合理性,加强抗菌药物临床应用管理。方法:利用医院信息系统(HIS),随机抽取2015年1-7月使用抗菌药物的出院病例共420份,对患儿抗菌药物医嘱进行分析点评。结果:2015年1-7月我院出院患儿为34 856例,其中使用抗菌药物20 336例,抗菌药物使用率为58.34%。420份病例中抗菌药物使用不合理医嘱共83条,占抗菌药物医嘱总条目数(576)的14.4%。主要问题为给药剂量、频次不适宜,遴选药物不适宜,分别占不合理医嘱的27.7%、21.7%。结论:我院抗菌药物医嘱存在较多问题,应加强对临床医师、药师的专业知识培训,以确保抗菌药物用药安全。
OBJECTIVE: To analyze the use of antimicrobial agents in our hospital, evaluate the rationality of antimicrobial agents in our hospital and to improve the clinical management of antimicrobial agents. Methods: Using hospital information system (HIS), a total of 420 discharged patients from January to July in 2015 using antibacterial drugs were randomly selected to analyze the clinical prescriptions of antibacterials in children. Results: From January to July 2015, 34 856 children discharged from our hospital were treated. Among them, 20 336 antibacterials were used, and the antibacterial drug use rate was 58.34%. Of the 420 cases, there were 83 cases of unreasonable medical use of antibacterials, accounting for 14.4% of the total number of antibacterial medical orders (576). The main problems for the dose, the frequency is not appropriate, the selection of drugs is not appropriate, accounting for 27.7% of unreasonable doctor’s advice, respectively, 21.7%. Conclusion: There are many problems in the prescription of antibacterials in our hospital. Professional knowledge training for clinicians and pharmacists should be strengthened to ensure the safety of antibacterials.