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目的探讨某院门诊泌尿系感染患者抗菌药物的使用情况,并评价抗感染治疗的合理性。方法调取某院2013年9月诊断为泌尿系感染的患者使用抗菌药的处方334张,对抗菌药物使用情况进行统计、分析。结果所抽查的全部处方中,使用抗菌药物334例次,即所有泌尿系感染患者均使用抗菌药物治疗,使用率为100%。不合理用药例数56例次,占16.8%。不合理情况主要表现为:给药剂量过大,给药频次不适宜,药物选择不适宜等。结论某院门诊治疗泌尿系感染的抗菌药物使用较为合理,但仍存在不合理情况,需给予适当的用药指导,以保证临床用药的安全、有效。
Objective To investigate the use of antimicrobial agents in patients with urinary tract infection in a hospital and to evaluate the rationality of anti-infective therapy. Methods A total of 334 prescriptions for antibiotics were collected from patients diagnosed as urinary tract infection in a hospital in September 2013, and the use of antibiotics was statistically analyzed. Results In all the prescriptions, 334 cases of antibacterial drugs were used, that is, all patients with urinary tract infection were treated with antimicrobial drugs, with a utilization rate of 100%. The number of irrational use cases 56 cases, accounting for 16.8%. Unreasonable situation is mainly manifested as: the dose is too large, the frequency of administration is not appropriate, the drug selection is not suitable. Conclusion It is reasonable to use antibacterials for treatment of urinary tract infections in a hospital. However, there are still unreasonable situations. Appropriate medication instructions should be given to ensure the safety and effectiveness of clinical medication.