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目的:对我院门诊2009年盐酸左氧氟沙星胶囊的用药现状分析,阐明存在的问题,为促进临床合理使用提供参考依据。方法:利用“HIS”系统《药品综合查询》对我院门诊药房药品消费信息进行统计分析,随机抽取门诊药房2009年6～12月的处方进行点评。结果:临床给药方案相对基本合理,盐酸左氧氟沙星胶囊的使用量有所控制,但普遍存在经验性用药、常规预防性用药的情况,而且病原菌微生物送检率较低,联合应用抗菌药指征不明。结论:临床应加强微生物检测与细菌耐药性监测工作,按指征和药敏实验结果提示使用抗菌药,减少经验性用药,使医院抗菌药物应用更加安全、有效、合理、经济。
OBJECTIVE: To analyze the present situation of the use of levofloxacin hydrochloride capsules in our hospital in 2009, clarify the existing problems and provide reference for promoting the rational use of clinical medicine. Methods: Using “HIS” system “drug comprehensive inquiry” to make statistical analysis on outpatient pharmacy drug consumption information in our hospital, and randomly selected prescriptions of outpatient pharmacy from June to December 2009 for comments. Results: The clinical regimen was relatively reasonable and the dosage of levofloxacin hydrochloride capsules was controlled. However, the prevalence of empirical medication and routine prophylaxis was low, and the rate of microscopic examination of pathogenic microorganisms was low. The indications of antimicrobial agents were unknown . Conclusion: Microbiological tests and bacterial resistance monitoring should be strengthened clinically. According to the indications and drug susceptibility test results, it is suggested that antimicrobial agents should be used to reduce the experience of medication and make the application of antimicrobial drugs more safe, effective, reasonable and economical in hospitals.