论文部分内容阅读
目的探讨我院2010年呼吸科住院患者抗菌药物使用的合理性。方法采用回顾性分析方法,随机抽取呼吸科出院病历100份,对抗菌药物的用药方案、联合用药、用药起始时间、病原学检查、抗菌药物使用情况等进行统计并评价其合理性。结果 100例呼吸科住院患者使用抗菌药物比例为99%,平均用药天数13d,其中二联用药比例占72%。用药频度前3位的药物分别为左氧氟沙星、阿莫西林克拉维酸钾和头孢唑肟;使用频率居前3位的抗菌药物依次为喹诺酮类、头孢菌素类、青霉素类;病原学送检率为77%。结论呼吸科住院患者的抗菌药物使用基本合理,但仍存在联合用药依据不足、时间依赖性抗菌药给药间隔不当等不合理用药情况,需要加强培训和监督管理。
Objective To investigate the rational use of antibacterials in inpatients of respiratory department in our hospital in 2010. Methods A retrospective analysis method was used to randomly select 100 patients discharged from the Department of Respiratory Medicine for statistical analysis and evaluation of the rationality of antibacterial drug regimens, combination therapy, start time of medication, etiological examination and use of antibacterials. Results 100 cases of respiratory patients inpatient use of antibacterial drugs was 99%, the average medication days 13d, of which 72% of the proportion of two drugs. The first three drugs were levofloxacin, amoxicillin-clavulanate and ceftizoxime respectively. The top three antibacterials were quinolones, cephalosporins and penicillins; The rate is 77%. Conclusions The use of antimicrobial agents in patients with respiratory diseases is basically reasonable. However, there are still some problems such as inadequate basis of combination and inappropriate administration of time-dependent antimicrobial agents. Training and supervision should be strengthened.