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目的:对邻水县人民医院住院儿童抗菌药物应用情况进行回顾性分析,促进临床合理用药。方法:随机抽取邻水县人民医院2010年1～6月的住院儿童病历367份,对抗菌药物应用情况按使用率、使用种类、联用情况、用药合理性等方面进行统计、分析。结果:使用抗菌药物的病历349份,使用率为95.10%,共使用了5类14种抗菌药物,联用率为25.79%,病原学送检率为2.00%,合理使用抗菌药物的病历282份,占病历总数的76.84%。结论:基层医院住院儿童抗菌药物使用情况令人担忧,多为经验用药,并且存在盲目使用甚至滥用现象。基层医院应加强儿童抗菌药物的使用管理。
Objective: To retrospectively analyze the application of antibacterials in hospital for children in Linshui County People’s Hospital to promote clinical rational use of drugs. Methods: A total of 367 hospitalized children aged from January to June in 2010 were collected from Linshui People’s Hospital. Statistics and analysis were made on the use of antimicrobial agents in terms of usage rate, type of use, combination and medication rationality. RESULTS: There were 349 medical records of antibacterial drugs with a utilization rate of 95.10%. A total of 14 antimicrobial drugs were used in 5 categories. The combined use rate was 25.79%, the etiological rate was 2.00%, and the medical records of rational use of antibacterials were 282 Accounting for 76.84% of the total number of medical records. Conclusion: The use of antibacterials in hospitalized children in grass-roots hospitals is worrying, mostly due to experience medication, and there is a phenomenon of blind use or abuse. Grassroots hospitals should strengthen the use of antimicrobial drugs in children management.