摘要
目的:分析该院儿科近二年抗生素的使用情况,评价其合理性。为抗生素的临床应用提供依据。方法:随机抽查该院2008年7月至2010年6月份的儿科门诊处方共3690张,对含有抗生素的处方数、抗生素的种类、联合用药及不合理用药情况等进行统计分析。结果:使用抗生素处方2754张,占抽查处方总数的74.63%;其中口服抗生素处方1057张,占抗生素处方的38.38%,使用频率最高的是β—内酰胺类;注射抗生素处方1697张,占抗生素处方的61.62%,使用频率最高的是β-内酰胺类。单一应用抗生素使用率为54.67%;二联抗生素的使用率为42.88%;三联抗生素使用率为2.45%。不合格处方521张,占处方总数的14.12%。结论:抗生素使用率偏高,不合理用药严重,应引起重视,并尽力改善。
Objective：To proble into the utilization condition of antibacterials in the pediatric department of a hospital from 2008 to 2010 and to evaluate its rationality so as to provide references for the clinical application.To statistical analysis the number of prescription containing antibiotics, the types of antibiotics,joint drug use and irrational drug use,etc.Methods：A total of 3690 outpatient pediatric prescriptions in this hospital from Jul.2007 to Jun.2009 were randomly sampled.Results：Antibiotics was used in 2754 outpatient pediatric prescriptions,the rate was 74.63% [including 1057 oral prescriptions,the rate was 38.38%in antibiotic prescriptions.using the highest frequency isβ-lactam;and 1697 injection prescriptions the rate was 61.62%,frequency of use highest isβ-lactam.Most of prescriptions（54.76%）had single antibiotic,and 42.88%had two combined antibiotic,only 2.45%had three combined antibiotic.we found 521 unqualified prescriptions,accounting for 14.12%of the total prescriptions.Conclusion：There were some problems in use of antibiotics,just as the high use of antibiotics,improper use of medicines,thereforce, more efficient measures of antibiotic control should be developed and implemented.
关键词
儿科
抗菌药物
使用情况
不合理用药
Pediatrics
Antibacterials
Usage of drugs
irrational drug use
