中国药物警戒 ›› 2010, Vol. 7 ›› Issue (7): 421-423.

• 管理及工作研究 • 上一篇    下一篇

云南省基层医疗机构门诊抗菌药物使用情况分析

白丽琴, 韩宏昇, 殷园园, 李建丽, 杜鹃, 傅文*   

  1. 云南省药品不良反应监测中心,云南 昆明 650101
  • 收稿日期:2016-02-22 修回日期:2016-02-22 出版日期:2010-07-08 发布日期:2016-02-22
  • 通讯作者: 傅文,女,主任药师,药品不良反应监测。E-mail: fuwen08@yahoo.com.cn
  • 作者简介:白丽琴,女,医师,药品不良反应监测及药物滥用监测。

The Using Situation of Antibiotics in Primary Hospital of Yunnan Province

BAI Li-qin, HAN Hong-sheng, YIN Yuan-yuan, LI Jian-li, DU Juan FU Wen*   

  1. Yunnan Center For ADR Mornitoring, Yunnan Kunming 650101, China
  • Received:2016-02-22 Revised:2016-02-22 Online:2010-07-08 Published:2016-02-22

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摘要： 目的 探讨云南省基层医疗机构门诊抗菌药物的使用状况,指导临床合理使用抗菌药物。方法 随机抽取云南省5个社区卫生服务中心及5个乡镇卫生院2007年的部分门诊处方共11 177张,对抗菌药物使用情况及不合理用药进行统计分析。结果 云南省基层医疗机构使用抗菌药的处方比例为71.7%;平均每张处方抗菌药种数为1.2种;抗菌药物使用率为35.1%;抗菌药的使用以静脉滴注为主,占60.9%;抗菌药联用处方百分比为37.8%,三联及以上占15.5%,联用情况较严重且存在不合理联用现象;头孢菌素类抗菌药的使用率排第一位,高达22.9%。结论 云南省基层医疗机构门诊在抗菌药物使用方面存在一定问题,应强化合理应用抗菌药物意识,规范门诊使用抗菌药物的行为,提高临床合理使用抗菌药物水平。

关键词: 社区卫生服务中心, 乡镇卫生院, 门诊, 抗菌药物, 分析

Abstract: Objective Make an inquiry into the using situationl of antibiotics in primary hospital of Yunnan. Methods We designed a randomized trail. An investigation was conducted among five Community Health Service Center and five Township hospitals in Yunnan, collected 11 177 outpatient prescription, to analyze the using situationl of antibiotics. Results The percentage of antibiotics prescribed was 71.7%, the average number of drugs per prescription was 1.2, the utility rate of antibiotics was 35.1%, the utility rate of combined use above three kinds of drugs was 15.5%; the utility rate of cephalosporin was in principio,up to 22.9%. Conclusion The using of antibiotics in primary hospital of Yunnan had some problems.We suggested that the consciousness of antibiotics reasonable using should be enhanced and doctors' behavior should be normed to improve the level of antibiotics reasonable using.

Key words: community health service center, township hospitals, clinic, antibiotics, analyze

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