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目的:调查我院住院患者抗菌药物使用现状及存在问题,为促进临床合理应用抗菌药物提供依据。方法:采用简单随机抽样法抽取我院2008年1-12月份出院病历每月30份共360份,就其抗菌药物的使用情况进行统计分析。结果:本院抗菌药物使用率为79.7%,其中预防用药占54.7%,治疗用药占45.3%,标本送检率为8.0%,合理用药率为57.1%,联合用药率为56.8%,使用频率较高的是加替沙星及左氧氟沙星。结论:我院使用抗菌药物存在许多不合理现象,围手术期情况比较严重,亟待加强手术科室抗菌药物的规范管理。
OBJECTIVE: To investigate the current situation and existing problems of antimicrobial use in hospitalized patients in our hospital and provide the basis for promoting clinical rational use of antimicrobial drugs. Methods: Using simple random sampling method from January to December 2008 in our hospital discharged a total of 360 copies of 30 copies of a month, on the use of antibacterials for statistical analysis. Results: The use of antibacterials in our hospital was 79.7%, of which 54.7% were preventives, 45.3% were treated, 8.0% were tested, the rational use rate was 57.1%, and the combined use rate was 56.8% High is gatifloxacin and levofloxacin. Conclusion: There are many irrational use of antimicrobial agents in our hospital, perioperative situation is more serious, urgent need to strengthen the normative management of antimicrobial drugs in surgical departments.