Review and Analysis of 1454 Prescriptions of Antibiotics for Urinary Tract Infection in Outpatient and Emergency Department

LIU Lili

doi:10.14009/j.issn.1672-2124.2020.08.031

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Review and Analysis of 1454 Prescriptions of Antibiotics for Urinary Tract Infection in Outpatient and Emergency Department

更新时间：2022-10-08

- Review and Analysis of 1454 Prescriptions of Antibiotics for Urinary Tract Infection in Outpatient and Emergency Department
- Vol. 20, Issue 8, Pages: 1013-1016(2020)
- 作者机构：
  
  北京市昌平区中西医结合医院药剂科
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2020.08.031
  CLC： R95
- Published：2020，
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[1]刘立丽.1454张门急诊泌尿系感染抗菌药物处方点评与分析[J].中国医院用药评价与分析,2020,20(08):1013-1016.

LIU Lili. Review and Analysis of 1454 Prescriptions of Antibiotics for Urinary Tract Infection in Outpatient and Emergency Department. [J]. 20(8):1013-1016(2020)
[1]刘立丽.1454张门急诊泌尿系感染抗菌药物处方点评与分析[J].中国医院用药评价与分析,2020,20(08):1013-1016. DOI： 10.14009/j.issn.1672-2124.2020.08.031.

LIU Lili. Review and Analysis of 1454 Prescriptions of Antibiotics for Urinary Tract Infection in Outpatient and Emergency Department. [J]. 20(8):1013-1016(2020) DOI： 10.14009/j.issn.1672-2124.2020.08.031.

摘要

目的:了解北京市昌平区中西医结合医院（以下简称"我院"）门急诊泌尿系感染患者的抗菌药物使用情况

为泌尿系感染合理用药提供参考。方法:采用回顾性分析方法

随机抽取2018年7月至2019年12月我院门急诊泌尿系感染抗菌药物处方1 454张

进行点评与分析。采用Excel 2017软件进行统计分析

对部分内容进行帕累托图分析。结果:1 454张门急诊泌尿系感染抗菌药物处方中

合理处方1 382张

处方合理率为95.05%。2018年7—12月、2019年1—6月和2019年7—12月的处方不合理率分别为7.65%（42/549）、3.74%（14/374）和3.01%（16/531）

呈降低趋势;抗菌药物联合应用处方所占比例由2018年7—12月的7.65%（42/549）降至2019年7—12月的3.95%（21/531）;口服抗菌药物处方所占比例约为80%;限制使用级抗菌药物处方所占比例约为50%;氨基糖苷类抗菌药物处方所占比例由2018年7—12月的7.83%（43/549）降至2019年7—12月的2.64%（14/531）。不合理处方共72张

其中用药不适宜处方70张（75例次）

包括适应证不适宜17例次

遴选药品不适宜14例次

剂型或给药途径不适宜8例次

用法、用量不适宜31例次以及联合用药不适宜5例次。讨论:专项点评工作促进了我院泌尿系感染抗菌药物的合理应用

联合用药处方明显减少

氨基糖苷类抗菌药物的使用日趋规范

但抗菌药物使用级别过高等问题仍需持续改进。

Abstract

OBJECTIVE:To investigate the application of antibiotics for urinary tract infection in outpatient and emergency department in Beijing Changping District Hospital of Integrated Traditional Chinese and Western Medicine（hereinafter referred to as "our hospital"）

so as to provide reference for the rational application of antibiotics.METHODS:Retrospective analysis was used

from Jul.2018 to Dec.2019

1 454 prescriptions of antibiotics for urinary tract infection in the outpatient and emergency department of our hospital were randomly selected for review and analysis.Excel 2017 software was used for statistical analysis

and Pareto chart analysis was performed on part of the contents.RESULTS:Among the 1 454 prescriptions of antibiotics for urinary tract infection

1 382 were rational prescriptions

and the rational rate was 95.05%.The irrational rate of prescriptions from Jul.to Dec.2018

from Jan.to Jun.2019 and from Jul.to Dec.2019 were respectively 7.65%（42/549）

3.74%（14/374） and 3.01%（16/531）

showing the decreasing trend.The proportion of prescriptions for drug combination of antibiotics decreased from7.65%（42/549） from Jul.to Dec.2018 to 3.95%（21/531） from Jul.and Dec.2019.Application of oral antibiotics accounted for 80%

and restricted antibiotics accounted for 50%.The proportion of aminoglycosides dropped from7.83%（43/549） from Jul.to Dec.2018 to 2.64%（14/531） from Jul.to Dec.2019.There were 72 irrational prescriptions

of which 70 prescriptions（75 case-times） were inappropriate prescriptions

including 17 case-times of inappropriate indications

14 case-times of inappropriate selection of drugs

8 case-times of improper dosage forms or route of administration

31 case-times of improper usage and dosage

and 5 case-times of improper drug combination.CONCLUSIONS:The prescription-review project has promoted the rational application of antibiotics for urinary tract infection in our hospital.The prescription of drug combination has been significantly reduced

and the application of aminoglycosides has become more standardized

yet problems such as excessive use of antibiotics still need the continuous improvement.

关键词

泌尿系感染抗菌药物分析不合理用药

Keywords

Urinary tract infectionAntibioticsAnalysisIrrational drug application

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