摘要
目的分析成都、沈阳2市的社区卫生服务机构抗生素使用、抗生素联用、抗生素与激素、抗病毒药物联用现状及存在的问题,并提出建议。方法抽取调查前1周3天的门诊内科与儿科或全科处方;其中沈阳市5家社区卫生服务中心(简称中心)共抽取处方1096张,成都市6家中心共抽取968张,沈阳市4家社区卫生服务站(简称服务站)共抽取302张。结果2市社区卫生服务机构处方抗生素使用比例为39.8%～83.2%,沈阳市医保患者的抗生素使用率最高达83.2%;成都市抗生素联用比例较高,为16.5%,沈阳为5.7%。另外,2市存在一定比例的抗生素和激素与抗病毒药物的联用情况。结论建议加强对医师规范用药的培训,开展药学服务,并将促进抗生素的合理使用作为一项社会性工作来抓。
OBJECTIVE Analyzing the prescriptions behaviour in community health service（CHS） insititutions in Chengdu and Shenyang, in order to understand current situation and existing problems of single use of antibiotics and combine use between antibiotics, steroid and antivirus, and propose some suggestions to improve the situation. METHOD Picking out three days＇ prescriptions of outpatient in department of internal medicine, pediatrics and general medicine within the last week before the survey, among which 1 096 prescriptions in 5 centers in Shenyang, 968 in 6 centers in Chengdu, and 302 in 4 service stations in Shenyang. RESULT 39.8%~83.2% of the prescriptions in two cities applied antibiotics, 83.2% prescriptions of patients entitled with urban medical insurance in Shenyang used antibiotics. Combining use of antibiotics in Chengdu accounted for 16.5% of prescriptions, it was 5.7% in Shenyang. CONCLUSION Training doctors in CHS institutions for rational medicine use, developing pharmacy service, and taking the task of promoting rational use of antibiotics as a social mission are important.
出处
《中国初级卫生保健》
2007年第5期22-24,共3页
Chinese Primary Health Care
基金
中英城市社区卫生与贫困救助项目(UHPP)
关键词
抗生素使用
药物联用
社区卫生服务机构
use of antibiotics, combine use of medicine, community health service institution
