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目的通过对我院老年社区获得性肺炎(CAP)患者抗菌药物应用情况的合理性评价,掌握其应用特点,提高医院抗菌药物合理应用水平。方法采用Excel等软件对我院2014年6月-2015年6月126例老年CAP住院患者所使用抗菌药物的种类、用药频度(DDDS)等指标及联合用药情况进行数据分析。结果抗菌药物使用以喹诺酮类和β-内酰胺类为主,其中DDDS最高者为左氧氟沙星氯化钠注射液。患者多数有联合用药,使用2种及2种以上者108例,占85.71%。老年CAP患者致病体以革兰阴性菌为主,占60.32%,其中以肺炎克雷伯菌所占比例最高(23.81%)。结论我院社区获得性肺炎(CAP)老年患者抗菌药物应用基本合理,但对于仍存在的一些使用不合理的问题,应加强监测和管理,更好地促进老年患者的合理用药。
Objective To evaluate the rational use of antimicrobial agents in elderly patients with community-acquired pneumonia (CAP) in our hospital and to master the characteristics of their application and to improve the rational use of antimicrobial agents in our hospital. Methods The data of antimicrobial agents used by 126 inpatients with CAP in our hospital from June 2014 to June 2015 in our hospital from June 2014 to June 2015 were analyzed by software such as Excel, DDDS and other data. Results The antibacterials were mainly quinolones and β-lactams, of which the highest DDDS was levofloxacin sodium chloride injection. The majority of patients with combination therapy, the use of two or more than two 108 cases, accounting for 85.71%. Gram-negative bacteria were the main pathogenic pathogens in elderly CAP patients, accounting for 60.32%, of which Klebsiella pneumoniae accounted for the highest proportion (23.81%). Conclusion The use of antimicrobial agents in elder patients with community-acquired pneumonia (CAP) in our hospital is basically reasonable. However, for some unreasonable problems that still exist, monitoring and management should be strengthened to better promote rational drug use in elderly patients.