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目的:评价住院患者抗菌药的应用情况,为临床合理应用抗菌药提供参考。方法:采用回顾性调查方法,抽取2010年1～6月出院患者病历302份,对其抗菌药使用情况进行统计分析。结果:抗菌药使用率为85.43%(258/302),共涉及10类32.种抗菌药,预防性用药占64.73%,治疗性用药占34.11%。以第二代头孢菌素为主,用药以二联为主;围手术期不合理预防用药问题最为严重。结论:多数科室均不同程度的存在抗菌药不合理应用现象,应加强抗菌药使用的监督管理,规范医生用药行为,进一步提高合理用药水平。
Objective: To evaluate the application of antibacterials in hospitalized patients and provide references for the rational use of antibacterials in clinic. Methods: A retrospective survey method was used to collect 302 cases of discharged patients from January to June in 2010, and the statistical analysis was made on the use of antibacterials. Results: The use rate of antibacterials was 85.43% (258/302), involving 10 kinds of 32 kinds of antibacterials, accounting for 64.73% for prophylactic drugs and 34.11% for therapeutic drugs. The second-generation cephalosporin-based medicine used to couple the main; perioperative unreasonable prevention of drug use is the most serious problem. Conclusion: Most departments have varying degrees of unreasonable use of antimicrobial agents, should strengthen the supervision and management of the use of antimicrobial agents, regulate the doctor’s medication behavior and further improve the rational use of drugs.