摘要
目的 探讨我院抗生素的使用现状和存在问题 ,为抗生素的合理应用和宏观管理提供科学的依据 .方法抽检 5 0 1例住院患者临床资料作抗生素应用现况调查 .全部资料录入计算机进行统计分析 .结果 抗生素的使用率为 75 6 % ;其中头孢菌素类居首位为 34 1%、其次喹诺酮类为 2 6 3%和青霉素类为 19 1% ;单种应用 42 4% ;抗生素选用以经验为主 92 1% ;病原体培养及药敏试验的送检率为 38 5 % ,病原体培养的阳性率为 39 0 % ;大部分医师能做到合理应用 .结论 加强抗生素合理应用的管理非常重要 .应根据病原学和药敏学首选窄谱抗生素 ,尽量应用一种抗生素 。
Objective To investigate the usage of antibiotics for improving the management and proper clinical utilization. Methods 501 patients by retrospective sampling studied for the usage of antibiotics were carried out during Jan.2000~Feb.2000.The data were treated by computer.Results The rate of antibiotic usage were 75.6%,cephalosporins were the first,quinolones next and then penicilins in the antibiotics usage.42.4% of patients used one kind of antibiotic.Only 38.5% infectious patients were made bacteria culture and antibiotics drug sensitive test.The positive rate of bacteria culture were 39.0%.92.1% patients applied antibiotics depending on clinical experience of the doctor.Most of the doctors can use antibiotics properly.Conclusions The results show that it is very important to strengthen the antibiotics usage in hospital.It is particularly necessary to limit the clinical use of preventive antibiotic application and to use only one kind of antibiotic and to decrease the application of wide spectrum as possible.
出处
《现代临床医学生物工程学杂志》
2001年第3期175-177,共3页
Journal of Modern Clinical Medical Bioengineering