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目的:了解基层医疗机构住院患者抗菌药物使用现状,分析其抗菌药物使用是否合理.方法:抽样调查某市2018年1-6月基层医疗机构、一级、二级医疗机构住院患者就诊情况,对抗菌药物使用率、使用品种数、住院费用等进行分析.结果:该县级市基层医疗机构抗菌药物的使用率为88.75％,人均使用品种数为1.95种;特殊使用级抗菌药物使用率为38.21％.结合现阶段文献及国家发布数据的对比,该市基层医疗机构抗菌药物使用率高,使用品种数多,存在过度使用现象.建议加强基层医疗机构入驻细菌耐药监测网;发挥医联体及分级诊疗的作用,将上级医院抗菌药物管理辐射至基层,提升基层医疗机构医务人员的业务能力;加强健康教育;加强医保控费作用,优化相关配套政策.“,”Objective:To understand the present situation of the use of antibiotics in primary medical institutions, to analyze the rationality of the use of anse. Methods:From January to June 2018, the hospitalized patients in primary and secondary medical institutions, the utilization rate of antibiotics, the number of varieties used and hospitalization expenses were analyzed. Results:The main inpatients were the elderly (59.5％), and the main diseases involved respiratory system (63.0％), musculoskeletal system and drugs. Conclusion:Primary medical and health institutions should join the bacterial drug resistance monitoring network, give full plen the role of medical insurance control fees.