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目的探讨剑河县人民医院创建“二级甲等医院”前后抗生素应用情况。方法回顾性分析剑河县人民医院创建“二级甲等医院”前的2011年1月病历中感染个案登记表和偶数日全天处方2431份与剑河县人民医院创建“二级甲等医院”后的2012年1月病历中感染个案登记表和偶数日全天处方2451份,共4882份。结果升级前全院用抗生素1413份,占58.1%,升级后使用1289份,占52.6%;升级前后相比,差异具有统计学意义(χ2=15.12,P<0.001);抗生素联用也从升级前的15.5%降至升级后的9.4%,差异有统计学意义(χ2=40.04,P<0.001)。结论创甲后剑河县人民医院抗生素使用、联用及头孢哌酮舒巴坦使用率,均有明显改善,但与世界卫生提倡抗生素使用率30%的要求相比还有一定差距,需进一步学习和整改。
Objective To explore the application of antibiotics in Jianhe County People’s Hospital before and after the establishment of “Grade A Hospital”. Methods A retrospective analysis of Jianhe County People’s Hospital before the establishment of “two first-class hospitals” in January 2011 prior to the record in the medical records and even day 2431 prescriptions and Jianhe County People’s Hospital to create “two A hospital in January 2012 ”cases of infection in the case record in January 2012 and even day prescription 2451 copies, a total of 4882 copies. Results Before the upgrade, there were 1413 antibiotics in the whole hospital, accounting for 58.1%, 1289 after escalation, accounting for 52.6%; the difference was statistically significant before and after the escalation (χ2 = 15.12, P <0.001) The former 15.5% dropped to 9.4% after the upgrade, the difference was statistically significant (χ2 = 40.04, P <0.001). Conclusion The use of antibiotics and combined use of cefoperazone and sulbactam in Jianhe County People’s Hospital after the birth of A were significantly improved, but there was still a long way to go to meet the requirement of 30% of the world’s antibiotics to promote the use of antibiotics Learning and rectification.