CAJ | 학술논문

目的：利用处方点评评价我院外科住院患者万古霉素/去甲万古霉素用药情况，提出行之有效的管理措施，促进万古霉素类药物的合理应用。方法：抽取我院外科系统2014年1月-3月使用万古霉素/去甲万古霉素的全部病例，依据《万古霉素/去甲万古霉素病历点评指南（试行）》进行处方点评，并对其数据进行统计分析。结果：共收集214份病例，无医生越权开药现象，67.3%的病例有专家会诊记录，手术预防用药占5.6%,治疗用药微生物标本送检率为55.4%，经验用药治疗有效率93.3%,目标用药治疗有效率100%，处方点评合理率为98.1%。结论：利用处方点评能够客观反映万古霉素/去甲万古霉素临床合理和管理情况，提示医院管理部门及时采取措施，促进合理用药。
목적：이용처방점평평개아원외과주원환자만고매소/거갑만고매소용약정황，제출행지유효적관리조시，촉진만고매소류약물적합리응용。방법：추취아원외과계통2014년1월-3월사용만고매소/거갑만고매소적전부병례，의거《만고매소/거갑만고매소병력점평지남（시행）》진행처방점평，병대기수거진행통계분석。결과：공수집214빈병례，무의생월권개약현상，67.3%적병례유전가회진기록，수술예방용약점5.6%,치료용약미생물표본송검솔위55.4%，경험용약치료유효솔93.3%,목표용약치료유효솔100%，처방점평합리솔위98.1%。결론：이용처방점평능구객관반영만고매소/거갑만고매소림상합리화관리정황，제시의원관리부문급시채취조시，촉진합리용약。
Objective: To evaluate vancomycin/norvancomycin management situation of surgical inpatients, propose effective management measures, and promote the rational use of vancomycin/ norvancomycin by prescription comment. Methods: From January to March, 2014, all surgical cases treated with vancomycin / norvancomycincases were selected in our hospital. The comment and statistical analysis were conducted on these cases, according to the "Vancomycin/norvancomycin prescription comment guidelines (trial)". Results: There were 214 cases with no unauthorizedly prescription of vancomycin/norvancomycin , 67.3% cases with expert consultation records, 5.6% cases with antibiotic prophylaxis for surgical procedures, 55.4% cases with microbial inspection, 93.3% cases with effective rate for experience in medicine, and 100% effective rate for target use. The reasonable rate of all these prescription was 98.1%. Conclusion: The use of prescription comment can objectively relfect the conditions of clinical use and control of vancomycin/norvancomycin, which reminds the hospital management department of taking steps to promote the rational use of vancomycin/norvancomycin.