海盐县人民医院儿科抗菌药物调研

目的：了解海盐县人民医院儿科抗菌药物使用情况，加强控制。方法：对海盐县人民院儿科1999年1－12月出院病历进行抗菌药物应用的回顾 性调查。结果：抗菌药物使用率95．76％，平均使用3．8d；抗菌药物使用前3位的依次为头孢菌素类、氨基糖苷类、大环内酯类；用药不合理占34．55％；依据药敏选药占20．61％；给药途径主要为静脉滴注。结论：加强抗菌药物合理应用的管理，重视治疗前药敏试验及抗菌药物对儿科患者的影响，对延缓耐药菌株的形成和减少不良反应有重要意义。

An Investigation of the Application and Management of Antibacterials in the Department of Pediatrics in Haiyan County Hospital

Objective: To provide information for strenthening the management of antibacterials through an investigation of the clinical use of antibacterials in the Department of Pediatrics in the people's hospital of Haiyan. Methods: A retrospective review of the medical records of all the inpatients discharged from the Department of Pediatrics of the hospital during the period of January 1999 to December1999 was carried out regarding the application of antibacterials for them. Results: Antibacterials were used in 95.76% of the patients, with a period averaged 3.8 days. The most frequently used three antibacterials were cephalosprin, aminoglycoside and macrolides. The rate of unreasonable use of antibacterials was 34.55%. Antibacterials selected on basis of susceptibility tests was 20.61%. The main administration route was intravenous drip. Conclusion: In order to prevent drug resistance of the bacteria and decrease adverse effects of antibacterials, it was very important to strenthen management of reasonable use of antibacterials and application of susceptibility tests and raise the awareness of the side effects of antibacterials on children.