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目的探讨肾内科住院患者应用抗菌药物的具体情况,提升药物的临床治疗效果。方法选取舒兰矿业(集团)总医院2012年5月至2014年5月在肾内科住院的550例患者,对其应用抗菌药物的情况进行分析。结果 550例患者在住院期间应用抗菌药物的比例达到79.3%(436/550),其中治疗性用药196例,预防性用药198例,预防+治疗联合用药42例;对196例治疗性应用抗生素的患者出现感染部位分析发现,尿路感染102例,呼吸道感染50例,皮肤感染及深静脉留置导管感染20例;对436例应用抗菌药物治疗的患者进行用药评价,220(50.5%)例用药合理,174例(39.9%)基本合理,42例(9.6%)不合理。结论通过对肾内科住院患者应用抗菌药物进行分析,促使抗菌药物应用更加合理、安全、有效和经济。
Objective To investigate the application of antimicrobial agents in hospitalized nephrology and to improve the clinical effect of the drug. Methods A total of 550 patients hospitalized in the Department of Nephrology, Shulan Mining (Group) General Hospital from May 2012 to May 2014 were selected and their antibacterials were analyzed. Results Among the 550 patients, 79.3% (436/550) of the patients received antimicrobial drugs during the hospitalization period, including 196 cases of therapeutic drugs, 198 cases of prophylactic drugs and 42 cases of combination of prophylaxis and treatment. Of the 196 cases treated with antibiotics Analysis of the patient’s site of infection revealed 102 cases of urinary tract infection, 50 cases of respiratory tract infection, 20 skin infections and deep venous catheter indwelling infection. Drugs were evaluated in 436 patients treated with antimicrobial agents and 220 (50.5% , 174 cases (39.9%) were reasonable and 42 cases (9.6%) were unreasonable. Conclusions The analysis of antimicrobial agents in hospitalized nephrologists makes the use of antimicrobial agents more rational, safe, effective and economical.