464例住院患者抗菌药物使用调查分析

目的分析住院患者抗菌药物使用存在的问题,为抗菌药物的合理使用及管理提供临床依据。方法采用横断面调查方法,选择2012年11月6日0：00～24：00住院患者资料,采用查阅病历和床边调查相结合的方法,对抗菌药物使用情况及细菌学检查进行调查分析。结果 464例住院患者中,抗菌药物使用率为42.67%,其中治疗、预防、治疗加预防用药分别占51.52%、45.45%、3.03%;抗菌药物单用、二联、三联使用率分别占88.38%、11.62%、0.00%;在全院各科室中,以骨科使用率最高,为81.03%,其次是儿科为61.90%、外科为57.69%;在预防用药方面以产科最高,为100.00%,其次是骨科为95.74%、妇科为52.38%;细菌学检查率为48.15%。结论医院存在抗菌药物使用不合理现象,需加强抗菌药物合理性应用及管理。

Investigation and analysis of antimicrobial drug use in 464 cases of inpatients

Objective To investigate the antimicrobial drug use and bacteriology examination of hospital patients, analyze the existing problem, in order to provide clinical basis for rational use and management of antimicrobial agents. Methods Cross-sectional survey method was used. The conditions of antimicrobial agents use and bacteriology examination were analyzed by looking up the illness record and bedside investigation among hospital patients from 0：00 to 24：00 on Nov. 6, 2012. Results Among 464 cases of hospital patients, the Antimicrobial usage rate was 42.67%, among which medication for treatment, preventive, treatment and preventive were accounted for 51.52% , 45.45% , 3.03%.The usage rates of single drug, two drugs combination, Triple drugs were 88.38%, 11.62%, 0.00%. Among all departments in the whole hospital, the usage rate in the orthopedics department was the highest, accounting for 81.03%, followed by the pediatrics department, accounting for 61.90%, surgical department, accounting for 57.69%. In the aspect of preventive medication, obstetrical department was the highest, accounting for 100.00%, followed by the orthopedics department （95.74% ） and gynaecology department （52.38% ）. The bacteriology examination rate was 48.15%. Conclusion There is antimicrobial drug unreasonable use in hospital, should strengthen the reasonable application and management of antimicrobial agents.