住院患者抗菌药物临床应用情况调查分析

目的 了解住院患者抗菌药物临床使用情况,为临床抗菌药物合理应用提供参考.方法 随机从许昌市中心医院2010年1-6月出院患者数据库中抽取使用抗菌药物的病历264份,对相关信息登记入"抗菌药物使用个案调查表"内,汇总后进行综合分析得出我院该时段抗菌药物的使用情况.结果 抗菌药物使用以单一用药为主,209例,占79.2%;联合应用主要为2联,48例,占18.2%;治疗性应用抗菌药物病原菌检查及药敏试验率低,仅为6.4%.抽样中使用频率最高的抗菌药物为头孢类,为14种19例,占72.3%;其次为青霉素类,为5种40例,占15.1%.不合理使用抗菌药物106例,占总病例数的40.1%.结论 我院抗菌药物使用情况存在不合理的问题,需进一步加强监测与管理力度.

Survey and analysis of clinical use of antibiotics in hospitalized patients

Objective To provide the reference for rational clinical application of anti-bacterial agents.Methods Two hundred and sixty-four patients using anti-bacterial agents were extracted from the hospital discharged patients records and randomized database; relative information was registered and the usage of antibiotics at this time were analyzed. Results The use of antimicrobial drugs was mainly single drug, accounting for 79.2%.Combined application of two drugs accounted for 18.2%. The rate of therapeutic application examination and antimicrobial susceptibility test bacteria was only 6. 4%. The highest frequency of using drugs was cephalosporins (72.3%); the second was penicillin(15. 1%). The proportion of irrational use of antimicrobial agents was 40. 1%. Conclusion Our hospital has some problems regarding antimicrobial drugs use, and we must strengthen the monitoring and management of antimicrobial drugs.