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目的了解我院住院患者抗菌药物的使用情况,分析目前存在的问题,为临床合理使用抗菌药物提供依据。方法采用横断面调查方法,对我院2014年5月28日0:00-24:00时所有住院患者进行抗菌药物使用调查。结果 676例住院患者中,抗菌药物横断面使用率为45.41%,其中治疗用药占71.34%,预防用药占28.66%;抗菌药物单用、二联使用率分别为92.83%和7.17%;全院各科室中,以儿科的抗菌药物使用率最高,为97.73%;全院治疗用药病原学送检率为73.52%;使用的抗菌药物涉及9大类共23个品种,其中应用最多的是头孢菌素类抗生素(34.44%),使用率排在前5位的抗菌药物依次为头孢唑肟、头孢米诺、哌拉西林舒巴坦、头孢硫眯、阿莫西林克拉维酸等。结论我院住院患者抗菌药物的使用仍然存在一些不合理问题,需要进一步加强抗菌药物的合理使用管理。
Objective To understand the use of antibacterials in hospitalized patients in our hospital and to analyze the existing problems so as to provide basis for clinical use of antibacterials. Methods A cross-sectional survey method was used to investigate the use of antibacterials in all inpatients from 0:00 to 24:00 on May 28, 2014 in our hospital. Results Among the 676 hospitalized patients, the cross-sectional use rate of antimicrobial agents was 45.41%, of which 71.34% were for therapeutic drugs and 28.66% for preventive drugs. The single-use and dual-use antimicrobial agents were 92.83% and 7.17% Department of pediatrics to the highest use rate of antibacterial drugs, 97.73%; hospital etiology of drug treatment for the detection rate of 73.52%; antibacterial drugs used in 9 categories involving a total of 23 varieties, of which the most widely used is cephalosporin Class antibiotics (34.44%), the top five antibacterials were ceftizoxime, cefminox, piperacillin sulbactam, cefaloxime and amoxicillin clavulanic acid. Conclusion There are still some unreasonable problems in the use of antimicrobials in inpatients in our hospital, and the rational use of antimicrobials needs to be further strengthened.