240例住院患者抗菌药物使用情况调查分析

目的了解住院患者抗菌药物使用情况,评价本院近两年来抗菌药物的应用状况和用药的合理性,为抗菌药物的临床应用管理提供依据。方法对2008～2009年住院患者的病历随机抽取240份,根据抗菌药物临床应用指导原则及卫生部相关文件规定进行合理使用分析。结果抗菌药物总应用率71.7%,预防性用药占55.2%,以经验用药为主,抗菌药物应用频率最高的品种是头孢噻肟和头孢唑林,抗菌药物费用占总药费的比例是手术组35.2%和非手术组50.2%;主要存在问题使用指征过宽,围手术期预防用药不规范,病原学送检率低。结论应继续加大对抗菌药物合理使用的宣传与监管。

Analysis of the result of antimicrobiai drug use in 240 case of inpatients

Objective To learn antibacterial drug use in hospitalized patients of our hospital.Evaluation the application of the status and rational use of drugs in past two years within the hospital.To provied references for the clinical application and management of antibacterial.MethodsTo selected the medical records of hospitalized patients randomly 240 case in 2008～2009,and analysis these case according to the guidelines of clinical application of antibacterial drugs and the the relevant documents of rational use of drugs from Ministry of Health.ResultsThe total application of antibiotics was 71.7%,55.2% is preventive use among it,Drugs use mainly based on experience,The most frequently use is cefotaxime and cefazolin.The cost of antimicrobial drugs is 35.2% and 50.2%.The main problems is too broad of use indication.Preventive medication is irregular used in perioperative period.And the pathogenic detection rate is lower.Conclusion Should continue to increase the advocacy and the regulatory of rational use of antibiotics.