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目的回顾性调查医院住院患者抗菌药使用情况,为临床用药提供参考。方法调查2008年4月3日前住院患者抗菌药物使用情况,以Excel表格进行分类统计。结果在120例患者中有100例(81.7%)在住院期间使用过抗菌药物,平均住院(91.2±122.7)d,人均用抗菌药物(25.6±33.8)d;64.0%的患者在住院期间联用过>2种抗菌药物,使用频率最高的前5个品种分别为左氧氟沙星、头孢哌酮/舒巴坦、哌拉西林/他唑巴坦、阿奇霉素和环丙沙星,美罗培南、万古霉素、克林霉素使用日剂量偏高。结论住院患者抗菌药物使用存在用药起点偏高、疗程偏长、联用不合理等问题,应加强干预管理。
Objective To retrospectively investigate the use of antibacterials in hospitalized patients and provide references for clinical use. Methods To investigate the use of antibacterials in inpatients before April 3, 2008, and to classify them according to the Excel format. RESULTS: Of the 120 patients, 100 (81.7%) used antimicrobial agents during the hospital stay, with an average of 91.2 ± 122.7 days of hospitalization and 25.6 ± 33.8 of antimicrobial agents per capita. Sixty-four percent of patients were hospitalized during the hospital stay The first five varieties with the highest frequency of use were levofloxacin, cefoperazone / sulbactam, piperacillin / tazobactam, azithromycin and ciprofloxacin, meropenem, vancomycin, Clindamycin daily high use. Conclusion Inpatient use of antimicrobial drugs there is the use of high starting point, long course of treatment, combined with unreasonable and other issues, should strengthen intervention management.