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目的评价住院患者抗菌药物使用情况,促进抗菌药物临床合理应用。方法选取南京医科大学第一附属医院2013年10月—2015年6月出院病历1560份,回顾性分析患者抗菌药物使用情况,并对抗菌药物使用合理性进行点评。结果1560份病历中,使用抗菌药物628份(40.26%)。共使用11大类50种抗菌药物,其中使用最多的是头孢菌素类。不合理使用抗菌药物173份(27.55%)。不合理处方存在问题主要有疗程过长、用量不适宜、用药频次不适宜、用药时机不适宜、无适应证用药、遴选药品不适宜、溶媒选用不适宜等。结论该院抗菌药物使用情况总体较好,但仍存在一定程度的不合理用药问题。应加强医院抗菌药物使用的管理,充分发挥临床药师监督和指导临床合理用药的作用,促进临床抗菌药物合理使用。
Objective To evaluate the use of antibacterials in hospitalized patients and to promote the rational clinical application of antibacterials. Methods The First Affiliated Hospital of Nanjing Medical University from October 2013 to June 2015 discharged 1560 copies of medical records, retrospectively analyzed the use of antibiotics in patients, and the use of antimicrobial agents were reviewed. Results 1560 medical records used 628 antibacterial drugs (40.26%). A total of 50 types of antibacterials were used in 11 major categories, of which cephalosporins were the most frequently used. Irrational use of antimicrobial drugs 173 (27.55%). Irrational prescription problems are the main course of treatment is too long, the amount is not appropriate, the frequency of medication is not appropriate, the timing of medication is not appropriate, no indications medication, selection of drugs inappropriate, inappropriate use of the solvent. Conclusion The use of antibacterials in the hospital is generally good, but there is still a certain degree of irrational drug use problems. Should strengthen the management of hospital antibacterial use, give full play to clinical pharmacists to supervise and guide clinical rational use of drugs to promote the rational use of clinical antibacterials.