某农村地区医院内科住院患者抗生素应用分析

目的：了解农村地区抗生素使用情况。方法：在广东省粤东地区某县医院随机抽取300例住院病例进行调查分析。结果：内科住院患者抗生素使用率为86．7％，使用率较高的前4位药物为青霉素类、头孢菌素类、喹诺酮类、大环内酯类；联合用药方面存在明显不合理的情况；细菌培养率为4．62％，未进行过药敏试验。结论：该农村地区医院内科住院病人中抗生素药物的使用不合理现象较为严重。

Analysis of Use ofAntibiotics in Inpatients in a Rural Hospital

In order to get information on the use of antibiotics in rural areas, 300 hospitalized patients were randomly selected from a rural hospital of Guangdong province and investigated for antibiotic use. The rate of antibiotic use in the hospitalized patients was 86.7 %; the four antibiotics at the top of the list were penicilins, cephalosporins, quinolones and macrolide. The rate of combined use of antibiotics was 68.46%. The culture of bacteria was carried out in only 4.62% of the patients and no antimicrobial susceptibility test was conducted. It is concluded that the antibiotics were not used in rational fashion in the rural hospital.