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目的:调查我院儿科抗菌药物应用情况,提出针对性的改进策略。方法:对2013年度儿科收治住院患儿782例病历进行回顾性分析。结果:应用抗生素698例,占89.26%,其中送检75例,占10.74%,送检中检出17例,占22.67%;联合用药632例,占90.54%,均为两联用药;头孢甲肟DUI=1.02;应用频率,头孢地嗪占48.38%,头孢甲肟占19.76%,阿奇霉素占15.0%,头孢米诺占11.75%用药更换73例,占10.46%,无效更换70例、药物过敏3例。结论:本院儿科住院患儿抗菌药物应用率较高,多为预防性用药,检出率低,用药集中在四种药品之上,存在不合理用药情况,预防性用药预见性、用药安全管理水平有待提高。
Objective: To investigate the application of pediatric antimicrobial agents in our hospital and put forward some improvement strategies. Methods: A retrospective analysis was performed on 782 pediatric cases admitted to pediatric department in 2013. RESULTS: 698 antibiotics were used, accounting for 89.26%. Among them, 75 cases were submitted for examination, accounting for 10.74%; 17 cases were found for examination, accounting for 22.67%; 632 cases for combination therapy, accounting for 90.54% The application frequency of cefodizime was 48.38%, cefmenoxime was 19.76%, azithromycin was 15.0%, cefotinoid was 11.75%, medication was changed in 73 cases (10.46%), invalid replacement was in 70 cases and drug allergy was 3 example. Conclusion: The pediatric hospital pediatric patients with high prevalence of antimicrobial drugs, mostly preventive medication, the detection rate is low, medication is concentrated in the top four drugs, there is irrational medication, prophylaxis predictive medication, medication safety management Level to be improved.