CAJ | 학술논문

目的探讨我院门急诊抗菌药物的分级使用管理情况,了解抗菌药物分级管理前后临床用药的变化.方法将我院使用的抗菌药物分为非限制使用、限制使用与特殊使用三类进行分级管理,在不同的医师范围内使用.结果抗菌药物使用率由69%下降到50%,合理使用率由59%上升到78%.三联使用抗菌药物的比率由8.4%下降到2%,不存在过去四联、五联使用抗菌药物现象.非限制使用类抗菌药物、限制使用类抗菌药物所占的百分比各上升了13.74%和3.97%,而特殊使用类抗菌药物所占的百分比下降为0.5%.结论抗菌药物分级管理可提高医务人员合理用药意识.
목적 탐토아원문급진항균약물적분급사용관리정황,료해항균약물분급관리전후림상용약적변화.방법 장아원사용적항균약물분위비한제사용、한제사용여특수사용삼류진행분급관리,재불동적의사범위내사용.결과 항균약물사용솔유69%하강도50%,합리사용솔유59%상승도78%.삼련사용항균약물적비솔유8.4%하강도2%,불존재과거사련、오련사용항균약물현상.비한제사용류항균약물、한제사용류항균약물소점적백분비각상승료13.74%화3.97%,이특수사용류항균약물소점적백분비하강위0.5%.결론 항균약물분급관리가제고의무인원합리용약의식.
Objective To investigate the clinical medication changes of antimicrobial drug after classifi-cation management in emergency and out-patient of our hospital. Methods Classification management of antimicro-bial drug were carried out according to non-restricted use, special use and restricted use in different range of application. Results The usage rate of antimicrobial drug decreased from 69% to 50%, the reasonable utilization rate increases from 59% to 78%. Triple combined drug-used rate of antimicrobial agents decreased from 8.4% to 2% and the past four and five combined use of antimicrobial drugs did not exist. The usage rate of non-restricted use antimicrobial agents and restricted use agents increased 13.74% and 3.97% respectively, while the usage rate of special use of antimicrobial agents dropped to 0.5%. Conclusion The classification management of antimicrobial drug should raise medical workers' awareness of rational drug use.