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目的调查分析建德市17家基层卫生院门、急诊抗菌药物处方合理性,查找其存在的问题,评价其合理性,为抗菌药物的合理使用和规范管理提供科学依据。方法选取2015年10月建德市17家基层卫生院门、急诊干预后抗菌药物处方各100张,按照建立的门、急诊处方抗菌药物使用合理性评价标准,对处方进行合理性分析。结果抗菌药物注射给药占47.3%(804/1990);两种抗菌药物联合用药282例(16.6%),三联用药4例(0.2%);抗菌药物不合理使用的处方共354张(20.8%),其中使用方法不合理的处方占所有不合理处方的47.5%(168例)。结论本地区抗菌药物使用在用药指征、品种选择、使用方法、联合用药等各方面依然存在问题,市药事管理质控中心应加强对基层卫生院抗菌药物相关知识培训,增强医务人员合理使用抗菌药物的意识,同时进一步加大监管力度,采取多项切实有效的管理措施规范抗菌药物的使用,提高基层卫生院的合理用药水平。
Objective To investigate and analyze the rationality of prescribing antibacterials for 17 primary hospitals in Jiande and to find out its existing problems so as to evaluate its rationality and provide a scientific basis for the rational use and standardized management of antibacterials. Methods A total of 100 antibacterials were randomly selected from 17 primary hospitals in Jiande City in October 2015. The rational use of antibacterials was evaluated in accordance with the evaluation criteria of rational use of antibacterials in the door and emergency department. Results Antibacterial drugs were administered in an amount of 47.3% (804/1990), 282 (16.6%) were antibacterials, and 4 (0.2%) were triple antibacterials. There were 354 irrigational prescriptions (20.8% ), Of which the prescriptions with unreasonable usage accounted for 47.5% (168 cases) of all unreasonable prescriptions. Conclusion The use of antimicrobial agents in the region still has some problems in the aspects of drug indications, variety selection, using method and combination treatment. The Municipal Pharmacy Management Quality Control Center should strengthen the training of knowledge on antibacterials in primary hospitals and enhance the rational use of medical personnel Antimicrobial awareness, while further increasing regulatory efforts to take a number of effective management practices to regulate the use of antimicrobial agents, improve the rational use of grassroots hospitals level.