目的 分析天津市人民醫(yī)院門急診抗菌藥物的使用情況,為臨床合理用藥提供參考依據(jù)。方法 采用回顧性分析方法,對天津市人民醫(yī)院2014年1—12月門急診抗菌藥物處方數(shù)據(jù)進(jìn)行匯總分析。結(jié)果 抗菌藥物處方218 048張,抗菌藥物使用率為14.12%;急診內(nèi)科抗菌藥物處方數(shù)量最多,就診患者最多的年齡段是50～80歲;使用抗菌藥物最多的疾病是呼吸道感染,肺炎居首位;口服是門急診抗菌藥物的主要給藥途徑;使用一種抗菌藥物占總數(shù)的87.6%;用藥頻度(DDDs)最高的是克拉霉素片;點評處方30 851張,不合理率為8.6%。結(jié)論 2014年門急診抗菌藥物的應(yīng)用基本合理,但存在不合理用藥現(xiàn)象,應(yīng)持續(xù)加強(qiáng)合理用藥培訓(xùn)和監(jiān)管。

Objective To investigate the utilization of usage of antibacterials in Department of Outpatient and Emergency of Tianjin People's Hospital, so as to provide reference basis for the rational use of drugs. Methods Data ofantibacterial prescriptions in Department of Outpatient and Emergency of Tianjin People's Hospital from January to December in 2014 were analyzed retrospectively. Results Antibacterial prescriptions (218 048 pieces) were collected. The usage rate of antibacterials was 14.12%. Department of Emergency occupied the maximum number of antibacterial prescriptions, and the ages of most patients were 50 to 80 years old. The diseases using most antimicrobials were respiratory infections, and pneumonia was taking the first place. Oral administration was the predominant route of antibacterials. The amount of antibacterials used alone accounted for 87.6% of all the prescriptions. Frequency of drug use (DDDs) of Clarithromycin Tablets ranked the first. The amounts of antibacterial prescription comments were 30 851 pieces, and the irrational ratio accounted for 8.6%. Conclusion The use of antibacterials in Department of Outpatient and Emergency is reasonable on the whole, but there is still irrational drug use, which should be strengthened and continuously improved.