我院抗菌药使用情况回顾性分析

随机抽取我院 ９７年１～６月份出院病历 １５８份，其中 １２２份（７７．２％）使用了抗菌药，本文仅对此１２２份使用抗菌药情况进行综合分析。我们发现：有６８例病人（５５．７％）抗菌药使用不合理；有８１例为预防性使用抗菌药，治疗用药仅３５例，防治兼顾有６例；有７例发生医院感染；住院期间只使用过１种抗菌药的有４２例，用过２种有３２例，２种以上有４８例，最多为７种；共用抗菌药４５种，１９６疗程，其中１联１１１疗程，２联５９疗程，３联２０疗程，３联以上６疗程，最多１例为６联，共计用药２００７ｄ，平均每疗程１０．２ｄ，每例平均用药１６．５ｄ。本文还讨论了抗菌药滥用与院内感染的关系，以及目前预防用药存在的问题，并对如何合理使用抗菌药提出了几点建议。

Retrospective analysis of antibiotics use in our hospital

158 discharged in - patient records from Jan to Jun. 1997 were randomly sampled, of which 122 cases used antibiotics were studied. There were 68 patients (55. 7%) used antibiotics inappropriately; 81 cases used it for prevention, 35 cases for treatment, 6 cases for both. 7 cases developed hospital - acquired infection. 42 cases used only 1 antibiotics, 32 cases used 2 antibiotics,48 cases used more than 2 antibiotics,the top were 7 antibiotics. 122 patients involved in 196 therapeutic courses (TC) and 2007 days of 45 kinds antibiotics used totally, 111 TC used only 1 antibiotics, 59 TC used 2 antibiotics at the same time, 26 cases used more than 2 antibiotics simultaneously, the top were 6 antibiotics' combination, the average days per TC and per case for antibiotics use were 10. 2 and 16. 5 respectively. we discussed the relationship between antibiotics abuse and hospital - acquired infection, and the problems involved in antibiotics use for prevention, and provided a few suggestions for rational use of antibiotics