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目的对我院儿科门诊抗生素不合理用药情况进行分析,进一步为儿科门诊用药水平的提高提供保障依据。方法抽取2012年6月~2013年6月我院儿科门诊4500份处方为本次研究的对象,对当中属于抗生素的处方抽取出来,并对其不合理用药情况进行分析。结果 4500份处方中,抗生素处方有2480份,抗生素处方中不合理用药处方有376份,占抗生素处方的15.16%。主要的不合理用药类型为:药物之间产生相互拮抗作用、毒性变强、副作用变多、使用方法不规范、所给药量不规范、不良反应增强。结论针对儿科门诊抗生素不合理用药情况的发生,临床医师及药师均需要给予充分重视,在临床给药过程中,需要遵循抗生素药物使用原则严格进行,需以儿童的实际生理特点为依据,制定合理的给药方法,并做好处方的仔细核查工作,进一步提升儿科门诊给药水平。
Objective To analyze the irrational use of antibiotics in pediatric outpatient clinics in our hospital and to provide further evidence for the improvement of medication levels in pediatric outpatients. Methods From June 2012 to June 2013, 4500 prescriptions in pediatric outpatient department of our hospital were selected as the objects of this study, and the prescriptions belonging to antibiotics were extracted and their irrational drug use was analyzed. Results Among 4500 prescriptions, there were 2480 antibiotic prescriptions, 376 antibiotic prescriptions, accounting for 15.16% of antibiotic prescriptions. The main types of unreasonable drug use are as follows: mutual antagonism between drugs, stronger toxicity, more side effects, non-standard usage, non-standard dosage, and increased adverse reactions. Conclusion For the outbreak of unreasonable use of antibiotics in pediatric outpatients, clinicians and pharmacists need to pay sufficient attention. In the course of clinical administration, antibiotics need to be strictly followed according to the principle of antibiotic use. Based on the actual physiological characteristics of children, reasonable formulation should be made The method of administration, and make careful verification of the prescription to further enhance the level of pediatric outpatient drug delivery.