江苏省某县级医院门诊口服抗生素不合理处方现状研究
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Study on the unreasonable prescription of oral antibiotics in outpatients of a county⁃level hospital in Jiangsu Province
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    摘要:

    为了解某县级医院门诊口服抗生素不合理应用情况,随机抽取该院2016年1月—2017年6月期间门诊各科室口服抗生素处方并对其合理性进行判断,同时采取自行设计的问卷调查该院门诊医生口服抗生素的认知情况。结果共发现门诊抗生素不合理处方69张,主要在于用法用量不合理及无适应证用药;问卷调查共调研医生168人,平均得分为 (22.62±1.18)分,多因素分析结果表明,中级职称和初级职称医师抗生素认知的差异有统计学意义(P=0.022)。医院门诊近年来抗生素使用与医生对抗生素认知情况较为理想,但仍存在一些明显问题亟需改进,应当针对不合理现象采取相应的改进措施。

    Abstract:

    To investigate the unreasonable application of oral antibiotics in hospital outpatients. The oral antibiotic prescriptions of the outpatient departments of a county?level hospital from January 2016 to June 2017 were randomly selected and judged for their rationality. At the same time, a self?designed questionnaire was used to investigate the cognition of oral antibiotics in the outpatient doctors of the hospital. A total of 69 unreasonable prescriptions for outpatient antibiotics were found, in which unreasonable usage and dosage and no indications took the main position. A total of 168 doctors were surveyed in the questionnaire survey, with an average score of (22.62±1.18) points, and the multivariate analysis demonstrated that only the titles and scores showed statistical significance (P=0.022). The application and doctors’ awareness of antibiotics in hospital outpatient clinics seem to be not bad in recent years. But there are still some obvious problems that need to be improved and corresponding improvement measures should be taken for unreasonable phenomena.

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朱小波,欧阳玉龙,吴红辉.江苏省某县级医院门诊口服抗生素不合理处方现状研究[J].南京医科大学学报(社会科学版),2019,(1):62~65

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  • 收稿日期:2018-10-08
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  • 在线发布日期: 2019-03-06
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