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目的:调查宁波农村地区抗菌药物的应用情况,并提出改进建议。方法:随机选择宁波市52家镇卫生院、451家村卫生室、117家药店,以问卷与实地考察相结合的方式了解应用抗菌药物的相关信息。结果:农村卫生院、卫生室及药店普遍存在不合理用药现象,既有技术上的问题,也有管理上的漏洞,主要表现在病源学依据不充分、给药方案欠规范、预防用药和联合用药指征不明确、药品监管措施不到位等。结论:宁波农村地区抗菌药物不合理应用现象严重,亟待干预。
Objective: To investigate the application of antibacterials in rural areas of Ningbo and to put forward suggestions for improvement. Methods: 52 township hospitals, 451 village clinics and 117 pharmacies were randomly selected in Ningbo. Information on the use of antimicrobials was obtained by means of a combination of questionnaires and field trips. Results: There were widespread irrational use of medicines in rural hospitals, clinics and pharmacies. There were both technical problems and management loopholes. The main reasons were inadequate etiological evidence, inadequate norms of administration, preventive medication and combination therapy Indications is not clear, drug regulatory measures are not in place. Conclusion: The irrational use of antimicrobial agents in rural areas of Ningbo is serious and needs urgent intervention.