注射用头孢吡肟在急诊应用中的处方点评
Prescription evaluation of Cefepime injection in the emergency
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摘要: 目的 探讨急诊处方的点评程序和方法,建立急诊抗菌药物使用合理性评估程序。 方法 利用医院信息系统采集某医院2009年3月至2009年8月期间注射用头孢吡肟急诊处方信息和病历信息,并对2009年8月开具的注射用头孢吡肟处方进行逐一分析,分析该药品的消耗趋势,并对用药指征、用药方案、用药手续等逐一进行点评。 结果 该院急诊注射用头孢吡肟应用以治疗复杂性腹腔内感染和皮肤及软组织感染为主,分别占64.69%和13.95%;用法用量的合理率为91.80%;联合用药合理率为87.83%;使用申请程序规范率仅有20.18%。提示应当对注射用头孢吡肟分级管理规定的落实情况、与其他药物的联合应用进行重点干预。 结论 急诊抗菌药物处方点评程序的建立克服了处方分析的局限性,充分考虑了病种病情的复杂程度,可以比较客观地评估临床药物使用的合理性。Abstract: Objective To discuss the method and process of prescription evaluation and establish evaluation process of rational utility of antimicrobial drug in the emergency. Methods The prescribing information and emergency medical information of Cefepime hydrochloride for injection were collected and analyzed. The trend of drug consumption, indications, programs and medication procedures. were assessed. Results The Cefepime hydrochloride for injection was used in treatment of biliary tract infections and surgical traumas, most of which were depended on experience and a clear indication for drugs. The ratio of rational utility was 91.80%. The ratio of combined rational utility was 87.83%. The ratio of regulate application was 20.18%. The utility of Cefepime hydrochloride for injection should be interfered. Conclusion The assessment process of antibiotic drugs in emergency department had overcome the limitations of prescription evaluation which fully considered the infection surveillance and complexity of the disease. The process was more reasonable on objective assessment of drug use.
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Key words:
- Cefepime /
- medication evaluation /
- rational drug use /
- emergency
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[1] 张鲜利,霍 花,翟 力.我院2年来处方评价的实践与体会[J].药学实践杂志, 2010,28(2):140. [2] 刘 双.急诊合理应用抗生素问题[J].世界急危重病医学杂志,2006;3(4):1348. [3] 葛绳德. 抗生素合理应用问题点滴[J]. 药学服务与研究,2007,7(5):321. [4] 国家药品食品监督管理局药品审评中心,四川美康医药软件研究开发有限公司.药物临床信息参考[M]. 重庆:重庆出版集团重庆出版社,2008:3. -
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