某院2005～2007年手术科室住院患者抗菌药物应用合理性调查

目的:了解某院手术科室抗菌药物的应用情况,为进一步规范化管理提供流行病学依据。方法:随机抽取某院2005～2007年手术科室住院病历900份,对抗菌药物应用率、应用合理性及不合理应用原因等进行汇总分析。结果:该院手术科室抗菌药物应用率达97.4%,其中预防用药比例为82.8%,且有逐年上升趋势,预防用药不合理程度较治疗用药严重,不合理率达98.9%。结论:该院手术科室抗菌药应用不合理现象广泛存在和程度严重,很多问题亟待解决。

Review of Application of Antibacterials in Surgical Departments in One Hospital During 2005-2007

OBJECTIVE ： To explore the application situation of antibacterials in surgical departments of a hospital so as to provide epidemiological evidence for further standardized administration of antibiotics. METHODS： 900 medical records during 2005-2007 were randomly collected from surgical departments for meta-analysis with regard to the rate of patients receiving antibacterials, rationality and the cause of irrational use of antibiotics, etc. RESULTS ： 97.4% of the patients received antibiotics, and the rate of preventive medication which accounted for 82.8% showed an upward trend year by year. The irrationality was more serious in preventive medication than in treatment medication, with the rate of irrational use being 98.9%. CONCLUSION： Irrational drug use in surgical departments of this hospital is widespread and serious, and there are many problems needed to be solved urgently.