摘要
目的:了解我院抗生素的使用现状和存在问题,为临床安全、合理、有效地使用抗生素提供参考。方法:随机抽取2000年及2004年我院住院病历各420例,对抗生素应用情况进行回顾性调查。结果:2000年抗生素的使用率为79．8％,合理使用率为77．6％。其中,单纯预防性用药者,单纯治疗性用药者、预防合并治疗性用药者、用药指征不明确者分别占42．4％、23．0％、33．1％、1．5％。2004年抗生素的使用率为80．5％,合理使用率为62．4％。其中,单纯预防性用药者、单纯治疗性用药者、预防合并治疗性用药者、用药指征不明确者各占40．2％、24．6％、34．3％、0．9％。结论:我院临床中存在不合理应用抗生素现象,应引起临床医师的重视。控制抗生素的预防性使用,根据病原菌及药敏合理使用抗生素至关重要。
Objective:To evaluate the status quo and exsiting problem of use of antibiotics in Beijing Friendship Hospital, and to provide reference for safe,rational and effective clinical use of antibiotics.Methods:The data of inpatients (n=420) in 2000 and inpatients (n=420) in 2004 were collected randomly and analyzed retrospectively.Results:79.8% of the patients in 2000 received antibiotic therapy.The rate of rational use of antibiotics was 77.6%.The purpose of using antibiotic using was:42.4% for prophylaxis,23.0% for treatment of infection,33.1% for both treatment and prophylaxis,and 1.5% for ambiguous aim.80.5% of the patients in 2004 received antibiotics.The rate of rational antibiotic use was 62.4%.The pur- pose of use of antibiotics was:40.2% for prophylaxis,24.6% for treatment.34.3% for both therapy and prophylaxis,and 0.9% with ambiguous aim.Conclusions Irrational use of antibiotics exists in clinical practice in our hospital,and clinician should pay attention to it.It's very important to constrain the use of antibiotics for prophylaxis,and antibiotics should be used rationally targeting at the pathogen and in accord with the results of drug sensitivity test.
出处
《感染．炎症．修复》
2006年第4期201-205,共5页
Infection Inflammation Repair
基金
中华医院管理学会/默沙东-医院管理科研课题(2004KY01)
