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采用随机数表发选取我院于2014年1月~2015年3月的急诊内科处方1400张,包含抗生素处方438张,对抗生素的使用情况进行分析,观察抗生素合理使用情况;随机选取250例抗生素应用患者进行细菌培养和药敏测试,观察抗生素耐药性。急诊内科中抗生素处方的使用率为31.29%,单用抗生素占抗生素处方的71.23%,占所有处方的22.29%;在急诊内科抗生素使用中,头孢菌素类抗生素使用率占50.91%,红霉素类抗生素所占比例23.97%,青霉素类抗生素使用率所占比例20.55%,其他类占4.56%;药敏测试中,青霉素类抗生素耐药性强,耐药率为73.33%,头孢菌素类及红霉素类耐药性较强,耐药率分别为60.12%、53.13%,其他类耐药性弱,耐药率为20.00%。
Using random number table to select our hospital from January 2014 to March 2015 in emergency medicine prescription 1400, containing 438 antibiotic prescriptions, the use of antibiotics were analyzed to observe the rational use of antibiotics; randomly selected 250 cases of antibiotics Patients were used for bacterial culture and susceptibility testing to observe antibiotic resistance. The usage rate of antibiotics in emergency department was 31.29%, antibiotics alone accounted for 71.23% of antibiotics prescriptions, accounting for 22.29% of all prescriptions. In the use of emergency medical antibiotics, cephalosporin antibiotics accounted for 50.91%, erythromycin The proportion of antibiotics was 23.97%, the percentage of penicillin antibiotics was 20.55%, and that of other drugs was 4.56%. Among the susceptibility tests, the penicillins antibiotics were highly resistant and the resistant rate was 73.33% Erythromycin is more resistant, with drug resistance rates of 60.12% and 53.13%, respectively, while others are weakly drug-resistant with a resistance rate of 20.00%.