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目的:评价肿瘤专科医院万古霉素临床应用情况,促进万古霉素的合理使用。方法:收集我院2015年66例使用万古霉素患者病历,对其用药指征、病原学检查、用法用量、用药疗程、联合用药、用药监测、药物利用指数(DUI)等方面进行点评分析。结果:66例患者中,69.70%的患者万古霉素使用合理,DUI为0.82。不合理用药主要表现为无适应证用药、用法用量不合理、疗程过长或不足、联合用药不合理、预防给药时机不合理。结论:我院万古霉素临床使用基本合理,但仍存在不合理现象,需进一步加强对该药的使用管理及用药监护,促进临床合理用药,保障患者用药安全。
Objective: To evaluate the clinical application of vancomycin in cancer hospitals and to promote the rational use of vancomycin. Methods: Sixty - six patients with vancomycin were enrolled in our hospital from January 2015 to January 2005. The clinical data of 66 patients with vancomycin were collected and analyzed for their indications, etiological examination, dosage, course of medication, combination therapy, medication monitoring and drug utilization index (DUI). RESULTS: Of the 66 patients, 69.70% of patients had a reasonable use of vancomycin with a DUI of 0.82. Irrational drug use is mainly manifested as no indications medication, dosage usage is unreasonable, the course is too long or inadequate, combination medication unreasonable, prevention of drug delivery timing is unreasonable. Conclusion: The clinical use of vancomycin in our hospital is basically reasonable, but there are still unreasonable phenomena. It is necessary to further strengthen the administration and administration of the drug, promote the rational use of drugs and ensure the safety of patients.