川北医学院学报
川北醫學院學報
천북의학원학보
JOURNAL OF NORTH SICHUAN MEDICAL COLLEGE
2015年
3期
287-290,305
,共5页
韦娜%魏来%余娴%匡扶%王娜%冉娅娟%李頔%刘蕊%杜青青%赵春景%钱妍
韋娜%魏來%餘嫻%劻扶%王娜%冉婭娟%李頔%劉蕊%杜青青%趙春景%錢妍
위나%위래%여한%광부%왕나%염아연%리적%류예%두청청%조춘경%전연
比阿培南%药物利用评价%评价分析
比阿培南%藥物利用評價%評價分析
비아배남%약물이용평개%평개분석
Biapenem%Drug use evaluation%Evaluation and analysis
目的：：通过药物利用评价( drug utilization evaluation,DUE)方法,评价比阿培南临床使用的合理性与规范性,为促进临床合理用药提供参考。方法：依据“比阿培南DUE 标准”对某医院2014年住院患者使用比阿培南332例病历进行回顾性分析。结果：(1)抗菌药物管理：微生物送检率82.2%(80%),会诊流程符合率51.3%(100%),病程记录符合率83.4%(100%),处方权限符合率97.3%(100%)；(2)用药指征：适应症98.2%(90%)；(3)用药过程：给药途径、溶媒选择、配伍禁忌正确率100%(100%)；疗效监测项符合率80.4%(85%)；(4)用药结果有效率78.6%(80%)。结论：医院比阿培南临床使用整体情况较好,但仍存在一些不足,医院应针对存在问题进行干预和整改,确保抗菌药物的规范合理使用。“比阿培南DUE 标准”对促进临床规范、合理使用比阿培南有一定作用。
目的：：通過藥物利用評價( drug utilization evaluation,DUE)方法,評價比阿培南臨床使用的閤理性與規範性,為促進臨床閤理用藥提供參攷。方法：依據“比阿培南DUE 標準”對某醫院2014年住院患者使用比阿培南332例病歷進行迴顧性分析。結果：(1)抗菌藥物管理：微生物送檢率82.2%(80%),會診流程符閤率51.3%(100%),病程記錄符閤率83.4%(100%),處方權限符閤率97.3%(100%)；(2)用藥指徵：適應癥98.2%(90%)；(3)用藥過程：給藥途徑、溶媒選擇、配伍禁忌正確率100%(100%)；療效鑑測項符閤率80.4%(85%)；(4)用藥結果有效率78.6%(80%)。結論：醫院比阿培南臨床使用整體情況較好,但仍存在一些不足,醫院應針對存在問題進行榦預和整改,確保抗菌藥物的規範閤理使用。“比阿培南DUE 標準”對促進臨床規範、閤理使用比阿培南有一定作用。
목적：：통과약물이용평개( drug utilization evaluation,DUE)방법,평개비아배남림상사용적합이성여규범성,위촉진림상합리용약제공삼고。방법：의거“비아배남DUE 표준”대모의원2014년주원환자사용비아배남332례병력진행회고성분석。결과：(1)항균약물관리：미생물송검솔82.2%(80%),회진류정부합솔51.3%(100%),병정기록부합솔83.4%(100%),처방권한부합솔97.3%(100%)；(2)용약지정：괄응증98.2%(90%)；(3)용약과정：급약도경、용매선택、배오금기정학솔100%(100%)；료효감측항부합솔80.4%(85%)；(4)용약결과유효솔78.6%(80%)。결론：의원비아배남림상사용정체정황교호,단잉존재일사불족,의원응침대존재문제진행간예화정개,학보항균약물적규범합리사용。“비아배남DUE 표준”대촉진림상규범、합리사용비아배남유일정작용。
Objective:To evaluate the clinical use of biapenem standardability and rationality with DUE mode and apply guide-lines for its rational clinical use. Methods:According to biapenem DUE standard,332 patients who received biapenem in one hospital were analyzed. Results:(1)Antibacterials management:Microbial inspection rate was 82. 2% (80%);the coincidence rate of consul-tation process 51. 3% (100%);the coincidence rate of course record 83. 4% (100%);the coincidence rate of prescription privileges was 97. 3% (100%);(2)The indications of drug use:suitable rate was 98. 2%(90%);(3)Medication process:the correct rate of the administration route,solvent selection and incompatibility were 100% (100%);and effect of monitoring compliance rate was 80. 4%(85%);(4)Medication effective rate was 78. 6% (80%). Conclusion:The clinical use of biapenem was quite well in one hospital, but there are some shortcomings. Hospital should do some intervention and rectification for existing problems to ensure the rational use of antimicrobial drugs. Biapenem DUE standard had certain effect on promoting the rational use of biapenem in clinical.
