[2014 - 2015年中国抗生素处方点评数据分析]
[Analysis on the data of antibiotic prescriptions comment in China, 2014-2015].
作者信息
Zhen J C, Bian J, Zheng T T
机构信息
Department of Pharmacy, Beijing Jishuitan Hospital, Beijing 100035, China.
出版信息
Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Jul;37(7):917-20. doi: 10.3760/cma.j.issn.0254-6450.2016.07.002.
OBJECTIVE
To evaluate the rationality of antibiotic use in the outpatient and emergency departments in some class 3A hospitals in China through International Network for Rational Use of Drugs(INRUD).
METHODS
The antibiotic prescriptions were collected from the outpatient and emergency departments in 78 class 3A hospitals of 25 provinces through INRUD during 2014-2015. The basic information of the antibiotic prescriptions and the prescriptions rationality were evaluated.
RESULTS
A total of 447 894 prescriptions of antibiotics were analyzed. From 2014 to 2015, the qualified rate the prescriptions increased from 91.52% to 93.08%, and the antibiotic use rate was similar(11.72% and 12.04%). The major irrational prescription type was inappropriate prescription, including inappropriate indication(32.42%, 34.02%)and inappropriate usage and dosage(24.22%, 18.56%).
CONCLUSIONS
Totally, the antibiotic use in the outpatient and emergency department reached the standard in China. However, the use of antibiotics didn't meet the national requirements in some area. It is necessary to promote the rational use of antibiotics.
目的
通过国际合理用药网络（INRUD）评估我国部分三甲医院门诊及急诊科抗生素使用的合理性。
方法
2014 - 2015年期间，通过INRUD收集了25个省份78家三甲医院门诊及急诊科的抗生素处方。对抗生素处方的基本信息及处方合理性进行评估。
结果
共分析了447894张抗生素处方。2014年至2015年，处方合格率从91.52%提高到93.08%，抗生素使用率相近（分别为11.72%和12.04%）。主要的不合理处方类型为用药不适宜，包括适应证不适宜（分别为32.42%、34.02%）和用法用量不适宜（分别为24.22%、18.56%）。
结论
总体而言，我国门诊及急诊科抗生素使用达标。然而，部分地区抗生素使用未达国家要求。有必要促进抗生素的合理使用。
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