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目的了解省级三级综合医院抗菌药物使用的基本情况,评价医院抗菌药物合理使用干预措施的效果。方法通过回顾性分析方法,对青海省三所省级三级甲等综合医院住院患者抗菌药物合理应用情况进行调查。结果本次调查的3所省级医院住院患者抗菌药物使用率呈现逐年下降趋势。治疗性使用抗菌药物和单品种用药比例均呈上升趋势,而预防性使用抗菌药物具有降低趋势。所调查的三所医院自2012年开始,治疗性用药患者病原学标本送检率逐渐趋向达标。结论青海省三级综合医院对抗菌药物合理使用的干预效果显著,抗菌药物使用逐步趋于合理。
Objective To understand the basic situation of the use of antimicrobial agents in the provincial third-level general hospitals and evaluate the effect of rational use of antimicrobial agents in hospitals. Methods The retrospective analysis method was used to investigate the rational use of antimicrobials in inpatients in three provincial third-level general hospitals in Qinghai province. Results The inpatient antibacterials utilization rates of 3 provincial hospitals in this survey showed a declining trend year by year. Therapeutic use of antibiotics and single-species drug use rates are on the rise, while the preventive use of antimicrobial drugs have a downward trend. The three hospitals surveyed since 2012, the etiology of patients with therapeutic drug delivery rate gradually reached the goal. Conclusion Qinghai Provincial General Hospital, the rational use of antimicrobial agents intervention effect is significant, the use of antimicrobial agents gradually become more reasonable.