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目的:调查基层社区医院抗菌药物应用现状,探讨并制定抗菌药物合理应用的对策,提高临床医师合理应用抗菌药物的水平,达到卫生部对抗菌药物专项整治所预期的目的。方法:从我院信息管理中心整体抽取2010年7月至2011年6月门诊处方201140张、住院病历1614份,对其进行统计分析。结果:门诊抗菌药物使用率高达55.36%,住院抗菌药物使用率达81.47%,Ⅰ类切口手术抗菌药物使用率达98,28%。头孢菌素类、青霉素类药物从销售金额中还是DDDs文字说明排序中分析均居前2位。结论:在抗菌药物品种的选择、给药方法、联合用药方面基本合理,但对抗菌药物应用指征掌握不够,存在滥用现象,需加强管理,专项整治。
Objective: To investigate the current situation of antimicrobial application in community-based community hospitals, to explore and formulate appropriate strategies for antimicrobial agents, to improve the rational use of antimicrobials by clinicians and to achieve the intended purpose of special rectification by antimicrobial agents by the Ministry of Health. Methods: From the information management center of our hospital as a whole, we extracted 201140 outpatient prescriptions and 1614 inpatient medical records from July 2010 to June 2011, and conducted statistical analysis. Results: Outpatient antibacterials utilization rates were as high as 55.36%, inpatient antibacterials utilization rate was 81.47%, and class I incision operation antibacterials utilization rate was 98,28%. Cephalosporins, penicillins drugs from the sales amount or DDDs text description ranking analysis in the top two. Conclusion: The choice of antimicrobial drug species, drug delivery methods, the combination of drugs is reasonable, but indications for the application of antimicrobial drugs is not enough, there is abuse, the need to strengthen management and special rectification.