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本文对1997年1月份我院全部出院病人960份(按病区分14组)病历进行了各类抗生素使用率、预防用药率的调查,反映了我院住院病人的抗生素使用情况。结果表明,我院住院病人的抗生素使用以青霉素类(占41.5%)、头孢菌素类(占33.5%)为主,其次为氨基甙类、大环内酯类,用药基本合理。但也存在不少问题。抗生素使用率(75.6%)和预防用药率(38.8%)较高,且以静脉注射给药为主,占90.3%,其中81.7%采用一次输注,使血药浓度波动较大。本文分析了造成抗生素不合理应用的因素,并对合理使用抗生素提出了看法和建议。
In this paper, January 1997 all discharged 960 patients in our hospital (according to the disease divided into 14 groups) medical records of various types of antibiotic use rates, prevention of drug use survey, reflecting the use of antibiotics in our hospital inpatients. The results showed that in our hospital inpatient antibiotic use of penicillins (41.5%), cephalosporins (33.5%), followed by aminoglycosides, macrolides, medication is reasonable. But there are also many problems. Antibiotic use rate (75.6%) and prophylaxis rate (38.8%) were higher, and mainly by intravenous injection, accounting for 90.3%, of which 81.7% of the one infusion, the blood concentration fluctuations. This article analyzes the factors that cause the irrational use of antibiotics, and puts forward our opinions and suggestions on the rational use of antibiotics.