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目的:了解某三甲医院抗菌药物应用合理性及医院抗菌药物分级管理制度的落实情况。方法:按照事先设计好的调查表,随机抽查了全院18个病区中的200份病历,其中正在使用抗茵药物的有120例,填写调查表。结果:在120份调查表中。抗菌药物使用指征总符合率90%,预防用药占38.3%。治疗用药占61.7%,药物选择合适76.7%,用法用量合适79.2%,用药途径不合适仅1例,用药疗程合理67.5%,联合用药合理54.7%。结论:仍须加强抗菌药物使用原则的管理,尤其是手术前后抗菌药物预防使用,以及医院抗菌药物分级管理制度的落实。
Objective: To understand the rationality of antibacterials usage in a top three hospital and the implementation of the classification system of hospital antibacterials. Methods: According to the pre-designed questionnaire, we randomly selected 200 medical records in 18 wards of the hospital, of which 120 were using anti-inflammatory drugs, and filled out the questionnaire. Outcome: In 120 questionnaires. The total coincidence rate of antimicrobial indications 90%, preventive medicine 38.3%. Therapeutic drugs accounted for 61.7%, the drug selection was 76.7%, the dosage was 79.2%, and the inappropriate route of administration was only 1 case. The medication was reasonable 67.5% and the combination was 54.7%. Conclusion: The management of the principle of using antimicrobial drugs still needs to be strengthened, especially the prevention and the use of antimicrobial drugs before and after surgery, and the implementation of the hospital antimicrobial drug classification management system.