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目的分析消化科近期抗菌药物使用强度升高的原因。方法调查南京江宁医院2015年5-6月份消化科出院的患者病历361份,对出院病例的抗菌药物使用率、住院天数以及抗菌药物使用品种、用药频度进行统计分析。结果 208例使用抗菌药物,使用率为57.6%;用药频次前5位的抗菌药物中口服的阿莫西林片、克拉霉素胶囊、头孢曲松占据前3位;抗菌药物单用为38.46%,二联为58.65%,三联及以上为2.89%。结论消化科住院患者抗菌药物使用情况基本合理,对比5月和6月数据表明抗菌药物强度升高主要与近期收住入院患者病种相关。
Objective To analyze the reasons for the recent intensive use of antibacterials in the gastroenterology department. Methods A total of 361 cases of patients discharged from Department of Gastroenterology, Nanjing Jiangning Hospital from May to June in 2015 were analyzed. The antibacterial drug use rate, hospitalization days, antibiotic use varieties and frequency of drug use were analyzed statistically. Results 208 cases were treated with antimicrobial agents, with a utilization rate of 57.6%. Amoxicillin tablets, clarithromycin capsules and ceftriaxone were taken orally in the top 5 antibacterials. Antibiotics alone was 38.46% Second Union is 58.65%, triple and above is 2.89%. Conclusions The use of antimicrobials in patients with gastroenterology is basically reasonable. The data of May and June show that the increase of antimicrobial agents is mainly related to the recent hospitalization of patients admitted to hospital.