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目的了解海南省农垦总局医院骨科住院患者抗菌素应用状况,优化治疗过程,提高医院整体抗菌素合理应用水平。方法以2004年卫生部颁发的《抗菌药物临床应用指导原则》为标准,随机抽取2008年1～12月600份骨科住院病历,对各种不合理应用抗菌素药物情况进行统计分析。结果600份病历中518例使用抗菌素,使用率为86%,其中预防性用药373例,占72%,治疗性用药145例,占28%,共查出133例属不合理用药,占26%。结论骨科抗菌素的应用存在各种不合理现象,应加大监管力度,制定合理的抗菌素治疗方案。
Objective To understand the application status of antibiotics in hospitalized patients in Orthopedic Department of Hainan Provincial Bureau of Land Reclamation, optimize the course of treatment and improve the reasonable level of antibiotics in the hospital. Methods Based on the “Guideline of Clinical Application of Antibacterial Drugs” issued by the Ministry of Health in 2004 as a standard, 600 orthopedic inpatient records from January to December in 2008 were randomly collected for statistical analysis on various unreasonable use of antibiotics. Results Among the 600 medical records, 518 cases were used antibiotics, with a utilization rate of 86%. Among them, 373 cases were prophylactic, accounting for 72% of the total, 145 cases of therapeutic drugs (28%), of which 133 cases were irrational, accounting for 26% . Conclusion There are various unreasonable phenomena in the application of orthopedic antibiotics. Supervision should be intensified and a reasonable antibiotic treatment plan should be formulated.