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目的:监测医院抗菌药物使用,分析评价其合理性并指导抗菌药物的合理使用。方法:按照卫生部全国抗菌药物临床使用监测的调查表和方法,按要求逐项填写,并进行分析评价。结果:抗菌药物费用占药品费用的30.06%,抗菌药物使用率63.13%,头孢菌素类使用率48.96%,术前0.5～1h给药占70%,二联及三联用药37.62%,病原学送检率31.67%,药敏试验送检率20.83%。结论:医院使用抗菌药物在费用、用药时机、用药起点及联合用药方面与合理使用要求仍存在一些差距,应加强监督管理和指导。
Objective: To monitor the use of antimicrobial agents in hospitals, analyze and evaluate its rationality and guide the rational use of antimicrobial agents. Methods: According to the questionnaire and method of monitoring the clinical use of antibacterials in the Ministry of Health, they were filled in according to the requirements and analyzed and evaluated. Results: The cost of antibacterial drugs accounted for 30.06% of drug costs, the use of antibacterials was 63.13%, the use of cephalosporins was 48.96%, preoperative 0.5 ~ 1h administration 70%, second and triple therapy 37.62%, etiology The rate of 31.67%, drug sensitivity test rate of 20.83%. Conclusion: There are still some gaps in the use of antimicrobial drugs in hospitals with regard to cost, timing of medication, starting point of medication and combination of drugs and reasonable use requirements. Supervision, supervision and guidance should be strengthened.