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目的了解和分析中医医院抗菌药物使用情况及存在问题,为临床合理应用抗菌药物提供科学依据。方法采用回顾性调查对中医医院2005年6月所有出院患者应用抗生素的情况分析。结果共调查863例病历,抗菌药物的使用率为61.30%;预防性用药占60.30%;在使用种类上青霉素占第1位;以联合用为主;给药方式主要是静脉给药占59.37%;标本送检率和细菌培养阳性率分别为31.76%和49.74%。结论应用抗菌药物存在不合理现象,应加强抗菌药物使用的管理,并发挥中医中药优势。
Objective To understand and analyze the usage and existing problems of antimicrobials in TCM hospitals and provide scientific basis for the rational use of antimicrobial agents in clinical practice. Methods The retrospective investigation of all the discharged patients in Chinese medicine hospital in June 2005 antibiotics were analyzed. Results A total of 863 cases of medical records were investigated, the use of antibacterials was 61.30%, prophylactic drugs accounted for 60.30%, penicillin was the first one in the category of use, and combined use was the main method of administration. The main modes of administration were intravenous administration of 59.37% ; The rate of specimen delivery and the positive rate of bacterial culture were 31.76% and 49.74% respectively. Conclusion There are unreasonable phenomena in the application of antimicrobial agents, management of antimicrobial use should be strengthened, and advantages of traditional Chinese medicine should be exerted.