综合性医院抗菌药物临床应用现状调查

目的了解我院抗菌药物的使用现状和存在问题,为抗菌药物的合理应用和宏观管理提供科学的依据。方法对我院2005年7月27日住院的781例患者进行抗菌药物应用现状调查,全部调查资料录入计算机进行统计分析。结果抗菌药物的使用率为56.98%,预防性用药率为20.74%;联合用药占41.80%;抗菌药物中应用频率最高的种类是头孢菌素类占58.17%、其次为喹诺酮类占16.56%和青霉素类占11.46%;病原体培养及药敏试验的送检率为33.57%,抗菌药物选用依据以经验用药为主。结论大部分医师能做到合理应用抗菌药物,掌握预防性用药的指征和方法是降低抗菌药物应用率的关键。

Antibiotics Clinical Usage in General Hospital

OBJECTIVE To investigate the usage of antibiotics for improving the management and proper clinical utilization. METHODS The data of 781 inpatients had been analyzed by field survey in our hospital in July 27,2005.The data were analyzed by computer. RESULTS The rate of antibiotic usage was 56.98%,and the rate of preventive antibiotic usage was 20.74%.Cephalosporins were the first,quinolones were the next and then penicillins in the antibiotics usage.Only 33.57% infectious patients were made bacteria culture and antibiotics drug sensitive test.Most antibiotics were used according to clinical experience. CONCLUSIONS Most of the doctors can use antibiotics properly.The strengthening control and rational antibiotics usage in prevention are the key means to decrease the numbers of irrational application.