论文部分内容阅读
目的:了解我院外科抗菌药物使用情况,为临床药师下临床提出整改意见作铺垫。方法:采取分层法随机抽取某医院外科2008-01/2008-06住院患者病历共计234份,对病例作回顾性调查分析。结果:234例手术患者用药中,抗菌药物的使用率高达100%,存在用药指征不明确、疗程过长、抗菌药物的联合应用不当等方面的问题。其中二联用药145例,三联及三联以上用药60例。结论:应进一步规范围手术期抗菌药物的使用,临床药师应积极参与围手术期用药的讨论,加强与医师的沟通,进一步提高抗菌药物的合理使用水平。
OBJECTIVE: To understand the use of surgical antibacterials in our hospital to pave the way for clinical pharmacists to put forward suggestions for rectification. Methods: Stratified method was used to randomly select a total of 234 cases of inpatients from January 2008 to June 2008 in a hospital surgery. The cases were retrospectively analyzed. Results: The use of anti-bacterial drugs in up to 234 surgical patients was as high as 100%. There were some problems in the indications such as ambiguous indications, long course of treatment, improper combination of antimicrobial agents and so on. Among them, 145 cases were used in combination therapy and 60 cases were treated with triple therapy or triple therapy. Conclusion: The use of perioperative antibiotics should be further regulated. Clinical pharmacists should actively participate in the discussion of perioperative medication, enhance communication with physicians and further improve the rational use of antimicrobial agents.