危重症急诊救治抗生素应用172例分析

分析近２年危重症急诊救治１７２例抗生素应用情况，指出抗生素在危重症急诊救治中使用率达８６．０％，而所有病例第一诊断为感染性疾病者占所用抗生素病人的２３．３％；１７２例抗生素应用中，７７例应用不合理，占４４．８％，其中给药方法不当（主要为溶媒选择不当）７２．７％，应用指征不明确２９．１％，选用抗生素起点高２３．７％，联合用药不当２３．７％，频繁更换用药１３．２％，不注意老年人用药特点１０．５％，所选用抗生素以青霉素类（４４．２％），氨基糖甙类（４０．７％）及头孢类（２９．１％）为主。

Application of antibiotics on emergency treatment for patients with critical illness: a report of 172 cases

Retrospective anlysis of application of antibiotics on emergency treatment for 172 patients with critical illness in two years showed that the rate of utilization of Antiobiotics accounts for 86.0%,but only 23.3% of them firstly diagnosed as infectious disease. In all the cases of application of antibiotics, 77 were irrational, accounting for 44.8%, of which the improper use of the drug (mainly the incorrect choice of solvent) accounted for 72.7%, and the unclear indication of application did for 29.1%, and highly initial point of application of antibiotic did for 23.7%, and inadequate combined treatment did for 23.7%, and frequently changed drugs did for 13.2%, and care less about the drug-used characters for the aged did for 10.5%. The main types of the chosen antibiotic were penicillin (44.2%), aminoglycoside (40.7%), and cephalosporins (29.1%).