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目的提高临床医师抗菌药物使用的合理性,了解抗菌药物临床应用状况,减少医院感染的发生,以采取有效的干预措施。方法按照统一的自制表格,随机抽查2008年5月出院病历204份。结果全院抗菌药物使用率69.1%。主要存在的问题有外科系统预防性使用抗菌药物用药指征过宽,围术期使用不规范,抗菌药物趋向高档化,病原学送检率低。结论建立药物监测系统,制定抗菌药物应用细则,重视病原学检测,定期对临床住院患者应用抗菌药物进行调查,促进合理使用抗菌药物。
Objective To improve the rationality of clinicians’ use of antimicrobial agents, understand the clinical application of antimicrobial agents, and reduce the incidence of nosocomial infections in order to take effective interventions. Methods According to a unified self-made form, randomly selected 204 cases were discharged in May 2008. Results The hospital antibacterial drug utilization rate of 69.1%. The main problems are surgical system prophylactic use of antimicrobial drugs indications are too wide, perioperative use is not standardized, antimicrobial drugs tend to high-grade, low etiological rate. Conclusion The establishment of drug monitoring system, the development of antibacterial drug application rules, pay attention to pathogenic detection, clinical inpatient clinical application of antimicrobial agents to investigate and promote the rational use of antimicrobial agents.