摘要
目的 :了解抗菌药应用情况。方法 :制定“抗菌药合理应用判断标准”表格 ,随机抽取某医院 2 0 0 1年1月～ 2 0 0 1年 9月出院病历 850份 ,对照表格内容进行分析评价。结果 :①抗菌药使用率为 70 .1 % (596/ 850 ) ,使用频次高的都是价格较高的第 3代头孢菌素。②手术患者围术期用药率为 77.2 % (1 79/ 2 32 )。③抗菌药不合理应用率为 32 .9% (1 96/ 596) ,不合理用药具体表现在 :无指征用药 (2 4 .5 % )、联合用药不当 (5 .1 % )、疗程过长 (1 9.4% )、给药次数不合理 (1 5 .8% )、更换药物过频 (1 2 .2 % )、疗程过短 (1 0 .2 % )、围术期用药不当 (1 2 .8% )。④治疗用药病原学检测率过低 ,仅为 7.4% (1 8/ 2 4 4 )。结论 :临床抗菌药的合理应用仍不尽如意 ,应加强宣传 ,加大监督力度。
Objective: To understand rational use of antibacterials. Method: 850 medical records of the patients discharged from this hospital between Jan. 2001 Spet.2001 were randomly selected and the data were analysed. Result: 1) The using rate of antibacterials in the hospitalized patients was 70.1%(596/850). 2) The rational using rate of antibacterials were in the perioperative period of 232 patients recieving surgery(77.2%). 3)The total unreasonable using rate of antibacterials was 32.9% (196/596 cases), of which, nonindicated use of antibacterials(24.5%), inappropriate use in combination(5.1%), prolonged duration(19.4%), unreasonable frequency of administration(15.8%), frequent switch of antibacterials(12.2%), shorter duration than necessity(10.2%) and unreasonable use in perioperative period(12.8%). 4) the microbiological assay and drug sensitivity test were carried out only in 7.4%, which was too low. Conclusion: Rational use of antibacterials should be strengthened in the clinical practice.
出处
《药物流行病学杂志》
CAS
2002年第3期137-138,共2页
Chinese Journal of Pharmacoepidemiology
