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目的:对肾内科患者临床抗生素使用情况进行调查分析,为临床加强抗生素合理用药管理提供参考。方法:对海盐县人民医院2014年1月~2016年1月期间收治的140例肾内科患者的临床资料进行回顾性分析,以其中涉及抗生素应用的患者作为研究对象,对这些患者临床抗生素使用情况进行全面的分析。结果:在这140例患者中有126例患者涉及抗生素的应用,抗生素应用率为90.0%。共涉及到抗生素类药物44种。在使用抗生素类药物的患者中治疗性用药与预防性用药分别占到总数的42.86%和52.38%。在进行治疗性用药的54例患者中有呼吸道感染患者29例,其中有12例患者为肺炎克雷伯菌感染;有19例患者为尿路感染,其中有2例为粪肠球菌感染,有21例为大肠埃希杆菌感染。结论:医院肾内科住院患者抗生素使用情况基本趋于合理,但是仍有值得进一步改善的地方,需要采取有效地管理措施确保临床抗生素使用更加合理化和规范化。
Objective: To investigate the clinical use of antibiotics in patients with nephrology so as to provide reference for clinical management of rational use of antibiotics. Methods: The clinical data of 140 cases of nephrology admitted to Haiyan People’s Hospital from January 2014 to January 2016 were retrospectively analyzed. The patients involved in antibiotics were selected as the study subjects. The clinical use of antibiotics in these patients Conduct a comprehensive analysis. Results: Among the 140 patients, 126 patients were involved in the use of antibiotics with an antibiotic rate of 90.0%. A total of 44 kinds of antibiotics are involved. In the use of antibiotics in patients with therapeutic and prophylactic medication accounted for 42.86% and 52.38% of the total. Of the 54 patients who received therapeutic medication, 29 were respiratory infections, 12 of which were Klebsiella pneumoniae infections; 19 were urinary tract infections, two of which were Enterococcus faecalis infections and 21 cases of Escherichia coli infection. CONCLUSIONS: The use of antibiotics in inpatients in the Department of Nephrology of the hospital basically tends to be reasonable. However, where there is still room for further improvement, effective management measures need to be taken to ensure more rationalization and standardization of clinical antibiotic use.