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乡镇卫生院门诊抗菌药物使用情况分析

张华锋   

  1. 九江学院附属医院
  • 收稿日期:2017-07-18 修回日期:2017-07-18 出版日期:2017-08-25 发布日期:2017-08-25
  • 基金资助:
    江西省基层卫生适宜技术星火推广计划项目(项目编号:20158017)

Analysis and Evaluation of Antimicrobial Agents in Township Central Hospitals

  1. The Affiliated Hospital of Jiujiang College
  • Received:2017-07-18 Revised:2017-07-18 Online:2017-08-25 Published:2017-08-25

摘要: 目的:了解江西省某市乡镇卫生院门诊抗菌药物使用现状,针对不合理应用情况提出相应对策。方法:选取江西省某市6家乡镇卫生院2016年1月-2016年6 月共1800 张门诊处方进行抗菌药物的使用状况分析。结果:1800 张处方中有771张处方使用抗菌药物,其中350张处方存在不合理使用抗菌药物情况,主要表现为用法用量不合理、适应证不明确、给药途径不适宜、用药疗程过长、联合用药不合理等。结论:需要通过抗菌药物相关培训提高医师水平,同时加强卫生部门对乡镇卫生院的抗菌药物的使用情况监控来改善抗菌药物的不合理应用状况。

Abstract: Objective: This manuscript performed comprehensive and systematic analysis and evaluation on management and use of antibiotics in Township Central Hospital in Jiangxi province. Methods: 1800 prescriptions of antimicrobial drugs in 6 Township Central Hospitals from Jan to Jun, 2016 were randomly selected. Results: There were 771 prescription use of antibacterial drugs in the prescription, which 350 prescription is not rational use of antimicrobial agents, there are also many problems, such as the use amount of accounting for antimicrobial agents; irrational drug use; irrational selection of antimicrobial drugs, which focus on improving management of clinical application of antibiotics. Conclusion: The reasonable use of antibiotics is relatively common problem in community health service institutions. Intervention and management should be strengthened to promote the safe and reasonable use.