J4 ›› 2015, Vol. 14 ›› Issue (2): 12-15.

• 药学 • 上一篇    下一篇

头孢菌素类抗菌药物处方分析

  

  1. 1.大理学院大理教学医院,云南大理671000;2.大理学院药学与化学学院,云南大理671000
  • 收稿日期:2014-07-19 出版日期:2015-02-15 发布日期:2015-02-15
  • 作者简介:林意菊,药师,主要从事临床药学研究.

Analysis of the Utilization of Cephalosporins

  1. 1. Dali Teaching Hospital of Dali University, Dali, Yunnan 671000, China; 2.College of Pharmacy and Chemistry, Dali University,
    Dali, Yunnan 671000, China
  • Received:2014-07-19 Online:2015-02-15 Published:2015-02-15

摘要:

目的:了解医院门诊儿科头孢菌素类抗菌药的使用情况,促进头孢菌素类抗菌药的合理使用。方法:采用回顾性调查分
析方法,随机抽取2014年1月至3月门诊儿科抗菌药使用处方1 800张,统计头孢菌素类抗菌药的品种、使用例数、用药频率和
诊断、联用等信息,分析头孢菌素类抗菌药的应用情况。结果:门诊儿科抗菌药使用率为62.36% ;1 800张抗菌药处方中,头孢
菌素类抗菌药处方为1 007张,占55.94%,使用例数居首位的是第一代头孢菌素头孢唑啉钠;静脉滴注用头孢菌素类抗菌药占
总抗菌药处方的46.22%,口服用头孢菌素类抗菌药占9.72%;单一抗菌药处方占79.44%,二联处方占20.50%,三联处方占
0.06%。结论:儿科门诊头孢菌素类抗菌药的使用基本合理,但在给药方法、给药途径、溶媒选择、配伍等方面存在不合理现
象,有待医师加强学习、药师适时干预、职能部门加强监管。

关键词: 抗菌药, 头孢菌素类, 儿科处方, 合理用药

Abstract:

Objective: To understand the utilization of cephalosporins in the pediatric outpatient department in hospital and to
promote the rational use of cephalosporins. Methods: By the retrospective investigation and analysis method, 1 800 prescriptions of
antibiotics from January to March 2014 were randomly selected and the application data of cephalosporins was analyzed including
varieties, the case number, use frequency and diagnosis and drug combination. Results: Antimicrobial use rate was 62.36%. Of the
total 1 800 prescriptions, 1 007 were prescriptions of cephalosporins(55.94%). The largest number of cephalosporins used in cases was the first generation cephalosporin cefazolin sodium. Cephalosporins by intravenous drip accounted for 46.22% of the total antibiotic prescriptions and oral cephalosporins accounted for 9.72% . Prescriptions of a single antibiotic accounted for 79.44% ,prescriptions of combined use of two antibiotics accounted for 20.50% and prescriptions of combined use of three antibiotics accounted for 0.06%. Conclusion: The use of cephalosporins in pediatric outpatient department was basically reasonable, while unreasonable phenomena existed in dosing method, administration route, solvent selection and compatibility etc. It is suggested that physicians should strengthen their learning, pharmacists intervene timely and functional departments strengthen supervision.

Key words: antibiotics, cephalosporins, pediatric prescriptions, rational drug use

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