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1. 安徽省儿童医院药剂科
2. 安徽省儿童医院实验医学中心
纸质出版日期:2022,
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周宬玥, 蔡和平, 罗志红, 等. 儿童头孢哌酮舒巴坦药物利用评价标准的建立与应用[J]. 中国医院用药评价与分析, 2022,22(2):237-241.
ZHOU Chengyue, CAI Heping, LUO Zhihong, et al. Establishment and Application of Medicine Use Evaluation Criteria for Cefoperazone and Sulbactam in Children[J]. 2022,22(2):237-241.
周宬玥, 蔡和平, 罗志红, 等. 儿童头孢哌酮舒巴坦药物利用评价标准的建立与应用[J]. 中国医院用药评价与分析, 2022,22(2):237-241. DOI: 10.14009/j.issn.1672-2124.2022.02.026.
ZHOU Chengyue, CAI Heping, LUO Zhihong, et al. Establishment and Application of Medicine Use Evaluation Criteria for Cefoperazone and Sulbactam in Children[J]. 2022,22(2):237-241. DOI: 10.14009/j.issn.1672-2124.2022.02.026.
目的:建立儿童头孢哌酮舒巴坦药物利用评价(MUE)标准,并对其应用情况进行评价,为临床合理用药提供依据。方法:以头孢哌酮舒巴坦的药品说明书为标准,参照相关书籍和指南,采用专家咨询法制定头孢哌酮舒巴坦MUE标准;采用回顾性分析法、简单随机抽样法,抽取该院2019年及2020年7—12月各200例使用头孢哌酮舒巴坦的住院患儿病例,进行用药合理性综合评价。结果:根据建立的MUE标准,2019年和2020年7—12月400例患儿中,总体适应证符合率为92.2%(369例)(预期目标值为90%)
微生物送检率为87.0%(348例)(预期目标值为50%)
给药剂量和给药频次符合标准百分率为78.0%(312例)(预期目标值为90%)
溶剂选择、给药途径、配伍禁忌和处方权限管理符合标准百分率为100%(400例)(预期目标值为100%)
药物相互作用符合标准率为94.0%(376例)(预期目标值为100%)
疗程符合标准百分率为88.5%(354例)(预期目标值为95%)
联合用药合理率为83.6%(联合用药共73例,其中61例合理)(预期目标值为90%)。结论:建立的儿童头孢哌酮舒巴坦MUE标准,可用于评价头孢哌酮舒巴坦在临床中的使用,规范医师合理用药,提高患儿疗效。
OBJECTIVE: To establish medicine use evaluation(MUE) criteria for cefoperazone and sulbactam
and to evaluate the application
so as to provide basis for clinical rational drug use. METHODS: Taking the drug instructions of cefoperazone and sulbactam as the criteria
referring to relevant literature and guidelines
the MUE criteria of cefoperazone and sulbactam was formulated by the expert consultation method. Retrospective analysis and simple random sampling were used to select 200 hospitalized children receiving cefoperazone and sulbactam in this hospital in 2019 and from Jul. to Dec. 2020 respectively
and the rationality of drug use was comprehensively evaluated. RESULTS: Based on the established MUE criteria
among 400 children in 2019 and from Jul. to Dec. 2020
the overall indication compliance rate was 92.2%(369 cases)(with expected target value of 90%)
the microbial inspection rate was 87.0%(348 cases)(with expected target value of 50%)
the rate of drug dosage and medication interval meeting the criteria was 78.0%(312 cases)(with expected target value of 90%)
the rate of solvent selection
route of administration
contraindications and prescription authority management meeting the criteria was 100%(400 cases)(with expected target value of 100%)
drug interactions meeting the criteria was 94.0%(376 cases)(with expected target value of 100%)
treatment course meeting the criteria was 88.5%(354 cases)(with expected target value of 95%)
and rational drug combination was 83.6%(73 cases of combined medication
of which 61 cases were reasonable)(with expected target value of 90%). CONCLUSIONS: The established MUE criteria for cefoperazone and sulbactam in children can be used to evaluate the use of cefoperazone and sulbactam in clinical practice
regulate the rational use of medication by clinicians and improve the efficacy in children.
头孢哌酮舒巴坦合理用药药物利用评价
Cefoperazone and sulbactamRational drug useMedicine use evaluation
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