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目的分析两家二级医院抗菌药物使用情况。方法随机抽取两家二级医院2009-07-2009-12病历256份,分析抗菌药物使用率、使用目的、使用量、药物联用等。结果抗菌药物一联用药116例,二联用药51例,三联及以上用药8例;使用率69.0%,预防应用52.6%;治疗应用47.4%;平均使用疗程6.82 d;使用前三位的药物为:头孢孟多酯钠、美洛西林钠、头孢唑林钠;细菌培养+药敏实验59例;手术病历抗菌药物使用率100%。结论两家二级医院抗菌药物使用率偏高,需加强临床用药指导和监督。
Objective To analyze the use of antibacterials in two secondary hospitals. Methods A total of 256 medical records were collected from two level 2 hospitals from July 2009 to December 2009 with analysis of antibacterial usage, purpose of use, dosage and drug combination. Results A total of 116 antimicrobial agents were used, 51 were used in combination with two drugs and 8 were used in combination with three or more drugs. The rate of use was 69.0% and the rate of prophylaxis was 52.6%. The treatment was 47.4%. The average duration of treatment was 6.82 days. : Cefadroxil sodium, mezlocillin sodium, cefazolin sodium; bacterial culture + drug susceptibility test 59 cases; surgical medical records antibacterial drug utilization rate of 100%. Conclusion The usage of antibacterials in two secondary hospitals is high, so it is necessary to strengthen the guidance and supervision of clinical medication.