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目的:分析我院门诊处方中抗菌药物的应用情况,为临床合理使用抗菌药物提供依据。方法:利用我院HIS系统,得到2009年1月-2011年12月门诊药物的消耗报表。采用用药频度分析(DDDs)及消耗金额排序比较的方法做统计分析。结果:2009年、2010年和2011年消耗的抗菌药物分别占门诊用药金额为17.95%、13.94%和7.99%;用药频度和消耗金额较大的有头孢菌素类、大环内酯类、青霉素类和喹诺酮类,而且排序每年有所变化。从抗菌药物DDDs排序来看,排序在前面的都是口服药,医生按照抗菌药物使用原则给轻症感染的患者首选口服药,而对于重症感染则采取序贯疗法。结论:我院门诊抗菌药物使用结构基本合理。
Objective: To analyze the application of antibacterials in outpatient prescriptions in our hospital and provide evidences for rational clinical use of antibacterials. Methods: By using the HIS system of our hospital, the consumption report of outpatient medicines from January 2009 to December 2011 was obtained. Using frequency analysis (DDDs) and the amount of consumption ranking comparison method to do statistical analysis. Results: The amount of antibacterials consumed in 2009, 2010 and 2011 accounted for 17.95%, 13.94% and 7.99% of the total respectively. Cephalosporins, macrolides, Penicillins and quinolones, and the sorts vary from year to year. Order from the antimicrobial DDDs point of view, the order is in front of oral medication, doctors use the principle of antimicrobial drugs to patients with mild infections preferred oral medication, and for sequential treatment of severe infections. Conclusion: The use of antimicrobial agents in our hospital is basically reasonable.