CAJ | 학술논문

目的：研究某院门诊及住院患者抗菌药物超说明书用药情况，对抗菌药物的临床应用进一步规范，为医疗管理与卫生决策提供参考资料。方法：随机抽取该院2014年应用抗菌药物门诊处方1300例和住院医嘱1300例作为研究对象，对两组信息进行采集后，与药品说明书对比，门诊及住院患者应用抗菌药物是否超出说明书规定，比较门诊与住院患者的差异。结果：门诊患者应用抗菌药物超说明书用药情况明显少于住院患者，差异显著（P<0.05）。结论：应用抗菌药物超说明书的用药情况较为常见，药品说明书虽然对药品应用规定了内容，但是，和医师的临床医疗行为还是有着极大的差异，只有规范医师的处方，才能实现抗菌药物的有效管理。
목적：연구모원문진급주원환자항균약물초설명서용약정황，대항균약물적림상응용진일보규범，위의료관리여위생결책제공삼고자료。방법：수궤추취해원2014년응용항균약물문진처방1300례화주원의촉1300례작위연구대상，대량조신식진행채집후，여약품설명서대비，문진급주원환자응용항균약물시부초출설명서규정，비교문진여주원환자적차이。결과：문진환자응용항균약물초설명서용약정황명현소우주원환자，차이현저（P<0.05）。결론：응용항균약물초설명서적용약정황교위상견，약품설명서수연대약품응용규정료내용，단시，화의사적림상의료행위환시유착겁대적차이，지유규범의사적처방，재능실현항균약물적유효관리。
Objective:to study the a hospital outpatient and inpatient exceed manual medicine of antibiotics and to further standardize the clinical application of antibacterial drugs, in order to better for medical management and decision-making of health resources. Methods:randomly selected the hospital application of antimicrobial agents in 2014 outpatient prescriptions of 1300 cases and 1300 cases in hospital doctor's advice as both groups, two groups of 2600 cases of information are collected, and drug instruction, whether antibiotics usage in department of outpatient and inpatient beyond specification, comparing the difference between the outpatient and hospitalized patients. Results: the clinic application of antibacterial drugs in patients with super manual medications significantly lower than the hospitalized patients, two groups compared significant difference (P<0.05). Conclusion: the application of antimicrobial agents of drug utilization of the super specifications is relatively common, visible, although drug instruction content is defined for pharmaceutical application, however, and physician clinical practical medical practice is a great difference, only standard prescription, can realize the effective management of antimicrobial agents.