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目的:分析广西医科大学第四附属医院住院患者抗茵药物的应用情况及其不合理用药实例。方法:随机抽取2012年1—12月间住院患者病历,对其使用抗菌药物的情况进行分析。结果:抽取的7 920份病历中使用抗菌药物者为71.16%(5 636例),不合理用药者为2.73%(216例)占使用抗菌药物百分比为3.83%;不合理用药主要表现在预防用药选择不当及术后预防用药时间过长等方面。结论:内科系统抗菌药物的使用基本合理,而外科系统预防性使用抗菌药物存在诸多不合理现象,应加强预防性使用抗菌药物相关知识的培训和行政干预,进一步规范抗菌药物的使用。
Objective: To analyze the application of anti-inflammatory drugs in hospitalized patients in the Fourth Affiliated Hospital of Guangxi Medical University and examples of unreasonable drug use. Methods: Inpatient records from January to December in 2012 were randomly selected and their antimicrobial agents were analyzed. Results: Among the 7 920 medical records collected, 71.16% (5636 cases) were antibiotics, 2.73% (216 cases) were irrational, and 3.83% were antimicrobials. The unreasonable use of drugs was mainly in preventive medicine Improper selection and postoperative preventive medication for a long time and so on. Conclusion: The use of antibacterials in the medical system is basically reasonable. However, there are many unreasonable phenomena in the prophylactic use of antibacterials in the surgical system. Training and administrative intervention on the preventive use of antimicrobial agents should be strengthened to further standardize the use of antibacterials.