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目的:通过对二级综合医院住院患者医嘱的调查,了解抗菌药物使用情况。方法:对512例患者采用横断面调查方法进行抗菌药物使用情况调查。结果:512位患者中,抗菌药物使用率为73.44%,微生物送检率为8.5%,二联以上用药率为41.0%,预防用药率为44.4%,给药途径上,静脉给药占99.5%,口服给药占0.5%,在我院现有的35种抗菌药物中,使用频率最高的为头孢他啶,抗菌药物使用率最高的科室为心胸外科90.9%,最低的科室为神经内科19.4%,微生物送检率最高的科室为神经内科和新生儿科均为16.7%,微生物送检率最低的科室是五官科、康复科、中医科、口腔科,均为0。35岁以上医师微生物送检率为6.25%,35岁以下医师微生物送检率为93.75%。结论:我院抗菌药物使用率偏高,围手术期预防用药比例偏高,微生物送检率极度偏低,经验用药比较常见,应采取措施降低抗菌药物使用率。
OBJECTIVE: To investigate the use of antimicrobial agents through the investigation of inpatients’ orders in secondary general hospitals. Methods: An investigation of the use of antibacterials was conducted in 512 patients with a cross-sectional investigation. Results: Among the 512 patients, the antibacterial drug use rate was 73.44%, the microbe test rate was 8.5%, the rate of two or more drug use was 41.0%, the rate of prophylaxis drug use was 44.4%, and the route of administration was intravenous drug administration was 99.5% , Accounting for 0.5% of oral administration, in our hospital 35 kinds of antimicrobial drugs, the highest frequency of use of ceftazidime, antibacterial drug utilization department of the highest rate of 90.9% cardiothoracic surgery, the lowest department for neurology 19.4%, microorganisms Department of neurosurgery and neonatal pediatrics were the highest rate of 16.7%, the lowest rate of microbiological examination department is ENT, rehabilitation, Chinese medicine, dental, were more than 0.35 years old physicians microbial delivery rate was 6.25%, 35 years old physicians microbial delivery rate of 93.75%. Conclusion: The usage of antibacterials in our hospital is high, the proportion of preventive prophylaxis in perioperative period is high, the rate of microbiological examination is extremely low, and the experience medication is more common. Measures should be taken to reduce the usage of antibacterials.