抗生素合理使用策略与临床药事管理政策的探讨摘要自第一代抗生素青霉素发现以来，人类对感染性疾病的防治取得了历史性的突破。近年来，抗生素凭借其强大抗菌效力急速发展，在临床上开始大范围使用，随之即来的就是抗生素滥用现象的大范围出现，由此产生多种类型的耐药菌。耐药细菌出现的同时便引发了多种药源性疾病，为我国临床治疗带来了极大的考验，抗生素合理使用因此成为了临床管理工作中的重点内容。因此本文将从目前我国的抗生素使用现状进行分析总结，结合我国出台的临床药事管理相关政策以及临床抗生素合理使用方法，探究抗生素临床合理使用策略指导临床科学合理用药。关键词：抗生素合理使用临床药事管理相关政策DiscussiononrationaluseofantibioticsandpolicyofclinicalpharmacymanagementAbstractThediscoveryofthefirstgenerationofantibioticpenicillinininthe1940ofthe20thcenturymadeagreatcontributiontothepreventionandcureofhumaninfectiousdiseases.Inrecentyears,withtherapiddevelopmentofitspowerfulantibacterialefficacy,antibioticshavebeenwidelyusedinclinic,whichistheincreasingunreasonableuseofantibiotics,resultinginmanytypesofantibioticresistancebacteria.Theemergenceofdrug-resistantbacteriainthemeantimetriggeredavarietyofdrug-bornediseases,forourclinicaltreatmenthasbroughtagreattest,rationaluseofantibioticshasbecomethefocusofclinicalmanagement.Therefore,thisarticlewillanalyzethecurrentsituationofantibioticuseinourcountry,combiningwiththerelevantpoliciesofclinicalpharmacymanagementandrationaluseofantibiotics,andexploretherationaluseofantibioticstoguideclinicalscienceandrationalmedication.KeyWords:AntibioticsReasonableuseClinicalPharmacyManagementRelatedpolicies目录摘要----------------------------------------------------------------------------------------------ⅠAbstract-----------------------------------------------------------------------------------------Ⅱ目录----------------------------------------------------------------------------------------------Ⅲ1绪论-------------------------------------------------------------------------------------11.1选题依据-------------------------------------------------------------------------------------11.2选题思路和意义-----------------------------------------------------------------------------------12我国临床抗生素滥用的现状--------------------------------------------------------------------22.1临床用药不重视细菌培养---------------------------------------------------------------------22.2抗生素不合理联用----------------------------------------------------------------------------22.3给药途径不合理----------------------------------------------------------------------------------23抗生素滥用的危害--------------------------------------------------------------------------------33.1耐药性-------------------------------------------------------------------------------------33.2不良反应-------------------------------------------------------------------------------------33.3二次感染-------------------------------------------------------------------------------------34为此我国针对抗生素滥用出台的相关政策------------------------------------------------44.1抗菌药物分级管理-------------------------------------------------------------------------------44.2针对门诊输液-------------------------------------------------------------------------------------44.3针对以药养医-------------------------------------------------------------------------------------45为促进临床抗生素合理使用提出的相关建议-----...
