本文選題：農(nóng)村 + 社區(qū)衛(wèi)生服務(wù)站　； 參考：《中國藥房》2015年36期

【摘要】：目的:為進(jìn)一步促進(jìn)農(nóng)村社區(qū)衛(wèi)生服務(wù)站合理應(yīng)用抗菌藥物提供參考。方法:抽取2012年1月1日-2014年12月31日我院轄屬8個社區(qū)衛(wèi)生服務(wù)站門診處方4 800張進(jìn)行調(diào)查,統(tǒng)計分析處方中抗菌藥物的應(yīng)用情況,比較采取行政干預(yù)措施與技術(shù)支持前后的指標(biāo)情況。結(jié)果:2012-2014年,我院轄屬社區(qū)衛(wèi)生服務(wù)站使用抗菌藥物處方占比由2012年的52.88%降至2014年的30.38%;使用抗菌藥物處方中臨床診斷以急性上呼吸道感染為主;使用最多的抗菌藥物種類是頭孢菌素;使用抗菌藥物處方中不合理處方占比從2012年的43.50%(368/846)降至2014年的22.84%(111/486)。結(jié)論:技術(shù)與行政干預(yù)結(jié)合促進(jìn)抗菌藥物合理應(yīng)用的成效顯著,但不合理應(yīng)用抗菌藥物的現(xiàn)象仍然存在。因此,仍需加大干預(yù)力度,組織相關(guān)培訓(xùn)的同時將使用抗菌藥物處方占比納入績效考核并加大該項指標(biāo)權(quán)重,以進(jìn)一步提高農(nóng)村社區(qū)衛(wèi)生服務(wù)站抗菌藥物的使用水平。
[Abstract]:Objective: to provide reference for the rational application of antimicrobial agents in rural community health service stations. Methods: from January 1, 2012 to December 31, 2014, 4 800 outpatient prescriptions were collected from 8 community health service stations in our hospital, and the use of antimicrobial drugs in the prescriptions was statistically analyzed. Compare the indexes before and after administrative intervention and technical support. Results from 2012 to 2014, the proportion of antibiotics prescriptions in community health service stations of our hospital decreased from 52.88% in 2012 to 30.38% in 2014, and the clinical diagnosis of antimicrobial drugs was mainly acute upper respiratory tract infection. Cephalosporins are the most commonly used antimicrobial drugs; the proportion of irrational prescriptions in antimicrobial prescriptions dropped from 43.50% in 2012 to 22.84% in 2014, down from 36.8% / 846 in 2012. Conclusion: the combination of technical and administrative intervention can promote the rational use of antimicrobial agents, but the phenomenon of irrational use of antimicrobial agents still exists. Therefore, it is still necessary to strengthen intervention, organize relevant training and bring the proportion of prescription of using antimicrobial drugs into the performance appraisal and increase the weight of this index, so as to further improve the level of use of antibiotics in rural community health service stations.
【作者單位】： 南方醫(yī)科大學(xué)附屬小欖醫(yī)院;
【基金】：中山市第二批科技計劃項目(No.20122A030)
【分類號】：R95

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