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目的:合理用药。方法:病例分析。结果:随机抽取1996年11月～1997年3月间出院病历500份,其中使用了抗菌药物病历254份,抗菌药物使用率50.8％。送标本培养78份,培养阳性55份,阳性率70.5％。使用抗菌药物8大类30种,共用348疗程(使用合理和基本合理276疗程,占总数79.3％;不合理72疗程,占总数20.7％。2314天中使用合理和基本合理1352天,占总数58.4％;不合理962天,占总数41.6％。使用不合理主要原因是用药时间过长,无针对性预防用药及无抗生素适应证而使用抗生素,结论:必须规范抗菌药物使用,加强管理力度。抗菌药物使用应严格掌握适应证,结合药敏试验选择用药,并有针对性预防用药,控制用药时间,减少不合理使用。
Purpose: Rational use of medicine. Methods: Case analysis. Results: 500 medical records were randomly selected from November 1996 to March 1997, of which 254 antibacterial medical records and 50.8 antibacterial drug use rates were used. Sent samples were cultured 78, 55 positive culture, the positive rate of 70.5%. The use of antimicrobial drugs 30 categories, a total of 348 courses (reasonable and reasonable use of 276 courses, accounting for a total of 79.3%; unreasonable 72 courses, accounting for 20.7% of the total .2314 days use reasonable and basically reasonable 1352 days, accounting for 58.4 %; Unreasonable 962 days, accounting for 41.6% of the total .Unreasonable use of the main reason is the medication time is too long, no targeted preventive medication and no antibiotics indications and use of antibiotics, Conclusion: The use of antibiotics must be standardized to strengthen management efforts. Drug use should be strictly indications, combined with drug sensitivity test choice of medication, and targeted prevention of medication, control the medication time and reduce the use of unreasonable.