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骨科抗菌药物使用情况的调查分析
引用本文:李霄理,陈希,冯婉玉. 骨科抗菌药物使用情况的调查分析[J]. 沈阳药科大学学报, 2010, 27(12): 1023-1025
作者姓名:李霄理  陈希  冯婉玉
作者单位:中国医科大学 附属第一医院,辽宁 沈阳 110001
摘    要:目的调查骨科抗菌药物的使用情况,探讨其合理性。方法对我院骨科2010年7、8、9月份出院病历中抗菌药物的使用情况应用抗菌药物调查表,手术切口按《临床外科学》分类法分类,对抗菌药物的合理应用进行统计分析。结果在骨科763份病历中,抗菌药物使用率达85.45%,未使用的占14.55%;治疗用药达25.31%,预防用药达74.69%;全身用药达97.09%,联合应用药达54.60%;合理用药占77.45%,不合理用药占22.55%。结论我院骨科抗菌药物的应用大体合理,但也确实存在不合理现象,尚需要医疗管理部门对抗菌药物的合理使用制定了切实可行的管理制度、质量评价标准,并定期考核、加强管理。

关 键 词:骨科  抗菌药物  药物应用
收稿时间:2010-10-20

Investigation and analysis of antibacterial use in department of orthopedics
LI Xiao-li,CHEN Xi,FENG Wan-yu. Investigation and analysis of antibacterial use in department of orthopedics[J]. Journal of Shenyang Pharmaceutical University, 2010, 27(12): 1023-1025
Authors:LI Xiao-li  CHEN Xi  FENG Wan-yu
Affiliation:The First Hospital, China Medical University,Shenyang 110001,China
Abstract:Objective To investigate and analyze the reasonable use of antibacterial in department of orthopedics. Methods The patients in July, August and September in department were recorded according to the inventory of antibacterial use, the operative incision was classified according to Clinical Surgery. The data of reasonable use of antibacterial were obtained after evaluation and analysis. Results Of the 763 patients in our study, 85.45% had used antibacterial, 14.55% had not; 25.31% of them used the drug for therapeutically purpose and 74.69% for infection prevention; 97.09% of the patients used antibacterial in systemic administration, 54.60% of them in drug combination way; 77.45% of the patients used the drug in reasonable usage and 22.55% in unreasonable usage. Conclusions The use of antibacterial in our department of orthopedics is generally reasonable, but the unreasonable usage was really existed. The medicine management department should make out a feasible antibacterial use institution and mass evaluation criterion, exam regularly and strengthen the management.
Keywords:orthopedics  antibacterial drug  drug use
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