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不定期地进入医院手术室,抽取在台手术病历,填写患者的基本信息及用药调查表。输入Excel表,进行统计分析并院内通报。在883份病历中,抗菌药物的使用率:62.51%(552/883),治疗性使用抗菌药物30例,预防性使用抗菌药物522例,联合用药5例。应用抗菌药物种类以头孢类为主,达460例次(88.12%)。抗菌药物使用合理率:81.31%(718/883)。说明我院手中抗菌药物使用基本合理,但存在预防用药使用率偏高、选药不当等不足,需进一步改进。
From time to time to enter the hospital operating room, surgical records taken in Taiwan, fill out the patient’s basic information and medication questionnaire. Enter the Excel table for statistical analysis and hospital notification. In 883 medical records, the usage rate of antimicrobials was 62.51% (552/883), 30 were antibacterials for therapeutic use, 522 were for preventive antibacterials, and 5 were used for combination therapy. The main antibacterial species were cephalosporins, reaching 460 cases (88.12%). Antimicrobials use a reasonable rate: 81.31% (718/883). It shows that the use of antimicrobial drugs in our hospital is basically reasonable, but there are some shortcomings such as the high usage rate of preventive drugs, improper drug selection and so on, which needs further improvement.