某院围术期患者氨曲南应用分析

目的:调查某院围术期患者氨曲南应用情况,促进临床合理应用抗菌药物。方法:收集某院2009年3月1日～3月31日手术出院患者应用氨曲南的病历215份,采用回顾性分析方法,评价其用药合理性。结果:215例病历中,预防性应用122例,其中合理29例,不合理93例;治疗性应用93例,合理54例,不合理39例。结论:氨曲南在该院围术期未严格按照《抗菌药物临床应用指导原则》、《卫生部办公厅关于进一步加强抗菌药物临床应用管理的通知》应用,存在不合理之处,应引起医务人员重视,同时医院领导应加强抗菌药物管理。

Analysis on Perioperative Use of Aztreonam in a Hospital

OBJECTIVE：To investigate the utilization of aztreonam in perioperative patients in order to promote rational use of antimicrobial agents. METHODS： 215 discharged surgery cases were collected in Mar. 2009 and analyzed retrospectively to evaluate the rationality of drug use. RESULTS： Of 215 cases, preventive use accounted for 122 cases, among which rational use 29 cases and irrational use 93 cases; treatment use accounted for 93 cases, among which reasonable use 54 cases and unreasonable use 39 cases. CONCLUSION： Perioperative use of aztreonam was not in line with Guiding Principles for Clinical Use of Antibacterial Drugs, Notice for Further Strengthen Management of Clinical Use of Antibacterial Drugs Issued by General Office of the Ministry of Health. Unreasonable utilization require to arouse attention of medical personnel and strengthen management.