我院抗菌药物医嘱专项点评分析

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。

The Statistics and Analysis of Antibiotic Orders

Objective: To analysis the utilization of antibiotic agents in medical orders of our hospital, in order to assess the rationality of antibiotic agents and strengthen clinical application and management of antibiotic agents. Methods: Four hundreds and twenty cases of discharged patients were randomly selected in our hospital from January to July in 2015 with the help of our information system (HIS). The medical orders of antibiotics were reviewed and analyzed. Results: There were 34,856 children who were discharged in our hospital, in which 20,336 children used antibiotic agents, antibiotic drug use rate was 58.34%. There were 83 unreasonable medical orders of antibiotics among the 420 cases, accounted for 14.4% (the total number was 576), which mainly included irrational dose and frequency of antibioctics and inappropriate drug selection, accounted for 27.7% and 21.7% respectively. Conclusion: There are still many problems in antibiotic orders. Professional knowledge should be strengthened to clinical doctors and pharmacists in order to make sure the safe use of drugs.