| 药敏试验后抗菌药物的选择分析 |
| |
| 引用本文： | 张骞峰,孙增先,孙晓,徐丙超.药敏试验后抗菌药物的选择分析[J].抗感染药学,2009,6(1):40-42. |
| |
| 作者姓名： | 张骞峰 孙增先 孙晓 徐丙超 |
| |
| 作者单位： | 江苏省连云港市第一人民医院,江苏,连云港,222002 |
| |
| 基金项目： | 江苏省药师协会默沙东基金 |
| |
| 摘 要： | 目的：分析临床上药敏试验（drug sensitivity test,DST）后抗菌药物选择的合理性。方法：回顾性调查180例细菌培养阳性的患者病历，分析抗菌药物在DST后的应用情况。结果：180例细菌培养阳性结果，革兰阳性细菌为52例，革兰阴性菌为140例。医师在DST后调整抗菌药物95例，未调整85例。DST后抗菌药物再选择的主要不合理性为：未完全掌握抗菌谱，不熟悉药物的药动学、药效学，不了解细菌的天然性和获得性耐药，不降级应用抗菌药物。结论：在DST后临床上抗菌药物的选择存在5种不合理现象。
|
| 关 键 词： | 药敏试验 抗菌药物 选择 |
Analysis of Antibiotics Choice after Drug Sensitivity Tests |
| |
| ZHANG Qian-feng,SUN Zeng-xian,SUN Xiao,XU Bing-chao.Analysis of Antibiotics Choice after Drug Sensitivity Tests[J].Anti-infection Pharmacy,2009,6(1):40-42. |
| |
| Authors: | ZHANG Qian-feng SUN Zeng-xian SUN Xiao XU Bing-chao |
| |
| Institution: | (Lianyungang No. 1 People＇s Hospital of Jiangsu Province, Lianyungang Jiangsu 222002, China) |
| |
| Abstract: | Objective： To analyse the antibiotics choice after drug sensitivity tests. Methods： Retrospective survey of 180 patients with medical records positive to bacilliculture, and analysis of antibiotics choice. Results： Among 180 cases, gram-negative bacteria were 52 strains, and gram-positive 140 strains. Ninety-five cases were adjusted, and 85 cases were not adjusted. The main unreasonable choices were： not to be familiar with antibacterial spectrum, PK, PD, natural and acquired drug resistance, and not to have suitable application of antibiotics. Conclusion： There are five unreasonable choices after drug sensitivity tests. |
| |
| Keywords: | drug sensitivity tests antibiotics choice |
| 本文献已被 维普 万方数据 等数据库收录！ |
|
