东莞地区4所医院门诊喹诺酮类药物应用调查
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莫锦伦

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R969.3

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Quinolone application in outpatient departments of four hospitals of Dongguan area
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    摘要:

    目的了解喹诺酮类抗菌药物的应用情况,促进临床合理用药。方法采用回顾性调查方法,随机选取东莞地区4所医院,收集其2013年4—5月门诊使用喹诺酮类药物处方1 085份及相应患者的门诊病历,对门诊处方用药情况进行调查分析。结果共使用6种喹诺酮类药物,使用频数居前3位的是左氧氟沙星(48.01%)、环丙沙星(28.52%)和氧氟沙星(13.90%);采用静脉滴注给药的比率高达85.53%(928例,其中采用静脉滴注给药654例,静脉滴注+口服274例);用于泌尿系统(358例,33.00%)、消化系统(305例,28.11%)和下呼吸道(211例,19.45%)感染频次较高;喹诺酮类药物联合其他抗菌药物治疗中,二联用药166例,未见三联及以上用药;部分喹诺酮类药物的口服制剂与H2受体阻断药、H+泵抑制剂和含镁铝制酸药等合用,存在不良相互作用的药物合用现象。结论该地区门诊处方应用喹诺酮类药物总体基本合理,但在适应证选择、联合用药、剂型选择、用法用量等方面均存在不合理之处,有待进一步改进和提高。

    Abstract:

    ObjectiveTo investigate the application of quinolones, so as to promote the rational use of antimicrobial agents.Methods Four hospitals in Dongguan area were randomly selected, 1 085 prescriptions and related medical records of outpatients from April to May 2013 were analyzed retrospectively.ResultsA total of 6 kinds of quinolones were used, three most frequently used quinolones were levofloxacin(48.01%), ciprofloxacin(28.52%) and ofloxacin(13.90%); 85.53% of prescriptions were intravenous drip (928 cases, 654 were only intravenous drip,274 were intravenous drip plus oral administration), quinolones were commonly used in the treatment of urinary tract infection(358 cases,33.00%), digestive system infection(305 cases,28.11%), and lower respiratory tract infection(211 cases,19.45%); 166 prescriptions were 2drug combination, 3drug and more combination use was not found; irrational combination drug use existed, including combination of oral administration of quinolones and H2 receptor blocking agents, H+ pump inhibitors, magnesium and aluminiumcontaining antiacids.ConclusionThe prescriptions of quinolones for outpatients in this area are basically rational, but the choice of indications, combination use, dosage form, and dosage administration need to be improved.

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莫锦伦,黄斌学.东莞地区4所医院门诊喹诺酮类药物应用调查[J]. 中国感染控制杂志,2014,13(3):165-168. DOI:10.3969/j. issn.1671-9638.2014.03.010.
MO Jinlun, HUANG Binxue. Quinolone application in outpatient departments of four hospitals of Dongguan area[J]. Chin J Infect Control, 2014,13(3):165-168. DOI:10.3969/j. issn.1671-9638.2014.03.010.

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  • 收稿日期:2013-08-20
  • 最后修改日期:2013-11-12
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  • 在线发布日期: 2014-03-30
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