呼吸内科抗菌药物使用分析

目的：分析某三甲医院抗菌药物的使用情况，为呼吸内科合理使用抗菌药物提供可靠的依据。方法：采用回顾性分析方法，随机抽取呼吸内科2012年7-12月住院患者病例180份，对其抗菌药物应用情况进行统计、分析。结果：该呼吸内科住院患者抗菌药物使用率为98．3％，共应用抗菌药物32种，联合用药率为70．6％。病原学送检率为89．3％，阳性率为16．4％。DDDs排序前3位的抗菌药物分别为头孢哌酮/舒巴坦钠、左氧氟沙星、哌拉西林/他唑巴坦。结论：该呼吸内科抗菌药物使用基本合理，但也存在用药起点高，过度联合用药，细菌培养结果阳性率低等问题，有待进一步规范。

Analysis the Antibacterial Rational use of Antimicrobial Drugs in the Respiratory Medicine

Objective：To analysis the antibacterial use of a hospital in order to provide a reliable basis for the rational use of antimicrobial drugs in the department of respiratory medicine .Methods：Retrospective survey method was used , 180 cases of respiratory department from July to December in 2012 were statistically analysed .Results：The usage rate of antibiotics was 98.3%in the department of respiratory medicine, involving 32 kinds of antibiotics, and combined usage of antibiotics was noted in 70.6%.Etiology detection rate was 89.3%and Positive rate was 16.4%.Cefoperazone /sulbactam sodium,levofloxacin and Piperacillin /tazobactam ranked among the top 3 in DDDs.Conclusion：The use of antibiotics in the department of Respiratory Medicine is basically rationally , But there were still some problems such as using antibiotics of the higher starting point , Excessive drug combination and Low positive rate of bacterial culturing .All these should be further standardized .