论文部分内容阅读
目前我国临床上抗生素的应用极为广泛,上海华山医院八十年代中期的一份调查报告中称,该院住院病人使用抗生素者42%,用于抗生素的金额,占药品总金额的1/3。不合理用现象是普遍存在的问题,据调查,上海16家各类医院用药不合理者占26%;广州调查3020份病历用药不合理者占19.6%;长沙7个医院311例死亡病例中,直接因用药不合理导致死亡者占5%;太原对944份病历调查结果,抗感染药物应用不合理占全部不合理用药的37.3%;解放军武汉总医院调查,抗生素合理应用者只占40%。以上资料是部份大中城市医院的抗生素应用状况,基层医院抗生素的不合理应用现象更为严重。
At present, the clinical application of antibiotics in our country is extremely widespread. According to a survey report of the Shanghai Huashan Hospital in the mid-1980s, 42% of inpatients used antibiotics in the hospital and the amount used for antibiotics accounted for one third of the total amount of drugs. Unreasonable use of the phenomenon is a common problem, according to the survey, 16 hospitals in Shanghai accounted for 26% of unreasonable use of drugs; Guangzhou survey of 3020 cases of irrational medical records accounted for 19.6%; Changsha 7 hospitals 311 cases of deaths, Directly due to unreasonable use of drugs led to death accounted for 5%; Taiyuan, 944 records of medical records, anti-infectives unreasonable application of unreasonable accounting for 37.3% of all irrational drug use; Wuhan General Hospital of People’s Liberation Army survey, rational use of antibiotics accounted for only 40%. The above information is part of the application of antibiotics in large and medium-sized cities and hospitals. The unreasonable application of antibiotics in grass-roots hospitals is even more serious.