Irrational prescriptions of antibiotics in Beijing Hospital from 2016 to 2019_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Zhihong , CHEN Di , MU Lin , YANG Zixian ,  YANG Liping

Department of Pharmacy, Beijing Hospital/National Center of Gerontology/Institute of Geriatric Medicine, Chinese Academy of Medical Science, Beijing 100730, P.R.China;

Corresponding author：

YANG Liping, Email: yanglp_2000@hotmail.com

Keywords：

Antimicrobial agent; Prescription review; Rationality of drug use

DOI：

10.7507/1672-2531.202008139

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the rationality of antibiotics use by analyzing the prescription reviewing results.Methods The review data of antibiotic prescriptions in Beijing Hospital was randomly selected from 2016 to 2019, from which unreasonable prescriptions and the antimicrobial agents were analyzed, and the use of antibiotics and unreasonable prescriptions annually were compared.Results The evaluation of rational use of antibiotics involved 79 701 outpatient prescriptions from 2016 to 2019. There were 10 drugs in the top five irrational rates of outpatient antibiotics, primarily cephalosporin and quinolones, accounting for 50% and 30%, respectively. The primarily unreasonable problems were over prescription (common in gastroenterology and dermatology), unsuitable indications (common in otolaryngology), inappropriate usage and dosage (common in urology, dermatology and gastroenterology), and failure to write clinical diagnosis or incomplete clinical diagnosis (common in obstetrics and gynecology and general surgery). During the four years, the proportion of antibiotics prescriptions and the irrational rate decreased annually.Conclusions The use of antibiotics in outpatient department of Beijing Hospital has achieved initial results, however, there are still some problems. We should further strengthen the management of antibiotics usage, strengthen training and learning, and increase medical cooperation to promote rational drug use in clinic.

Citation： WANG Zhihong, CHEN Di, MU Lin, YANG Zixian, YANG Liping. Irrational prescriptions of antibiotics in Beijing Hospital from 2016 to 2019. Chinese Journal of Evidence-Based Medicine, 2021, 21(3): 266-270. doi: 10.7507/1672-2531.202008139 Copy

1.	张璐, 卞婧, 涂芳, 等. 2015-2017 年北京市医管局综合医院抗菌药物处方点评结果与分析. 临床药物治疗杂志, 2018, 16(2): 60-63.
2.	卫生部. 关于印发《医院处方点评管理规范(试行)》的通知(卫医管发〔2010〕28 号), 2010-03-03. Available at: http://www.nhc.gov.cn/yzygj/s3590/201810/6103f922f61440d1b48ba1571b6b6b72.shtml.
3.	卫生部. 处方管理办法(卫生部令第 53 号), 2007-05-01. Available at: http://www.nhc.gov.cn/fzs/s3576/201808/d71d4735f6c842158d2757fbaa553b80.shtml.
4.	《抗菌药物临床应用指导原则》修订工作组. 抗菌药物临床应用指导原则(2015 年版). 北京: 人民卫生出版社, 2015: 1-184.
5.	甄建存. 处方点评的方法与标准. 药品评价, 2010, 7(6): 57-60.
6.	卫生部. 抗菌药物临床应用管理办法(卫生部令第 84 号), 2012-08-01. Available at: http://www.nhfpc.gov.cn/mohzcfgs/s3576/201205/54645.shtml.
7.	卫生部. 关于进一步开展全国抗菌药物临床应用专项整治活动的通知(卫办医政发〔2013〕37 号), 2013-05-06. Available at: http://www.nhc.gov.cn/yzygj/s3585u/201305/823b9d131ff4416ab7b41b2c4e1f0e83.shtml.
8.	国家卫生计生委, 国家中医药管理局. 关于进一步加强抗菌药物临床应用管理工作的通知(国卫办医发〔2015〕42 号), 2015-07-24. Available at: http://www.nhc.gov.cn/yzygj/s3593/201508/f0fdf1f52df14b87aa97be53819f1036.shtml.
9.	台磊. 898 张门诊抗菌药物处方点评与分析. 中国医院用药评价与分析, 2017, 17(11): 1580-1581, 1584.
10.	国家卫生健康委. 国务院深化医药卫生体制改革领导小组简报(第 211 期), 2017-11-17. Available at: http://www.nhc.gov.cn/tigs/ygjb/201711/eda9ea7bf83b4398ae0fc7a3f636e948.shtml.
11.	国家卫生健康委. 关于印发医疗质量安全核心制度要点的通知, 2018-8-25. Available at: http://www.nhc.gov.cn/yzygj/s3585/201804/aeafaa4fab304bdd88a651dab5a4553d.shtml.
12.	国家卫生健康委. 关于持续做好抗菌药物临床应用管理有关工作的通知(国卫办医发〔2018〕9 号), 2018-05-09. Available at: http://www.nhc.gov.cn/yzygj/s7659/201805/c79c998bdf8f4744858051cdfd1e6818.shtml.
13.	国家卫生健康委. 关于持续做好抗菌药物临床应用管理工作的通知(国卫办医发〔2019〕12 号), 2019-3-29. Available at: http://www.nhc.gov.cn/yzygj/s7659/201903/1d487eb7b7c74abc9fcb104f8b0905f2.shtml.

Chinese Journal of Evidence-Based Medicine

Irrational prescriptions of antibiotics in Beijing Hospital from 2016 to 2019

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content