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目的分析临床抗生素应用不合理相关影响因素。方法选取医院进行抗生素治疗的患者2 000例,回顾分析患者的临床资料,包括患者抗生素的应用时间、种类和细菌培养情况等资料,分析研究临床抗生素应用不合理相关影响因素。结果在2 000例进行抗生素治疗的患者中,26.0%为细菌培养者,840例患者为明确的感染性疾病,1 440例患者在治疗中应用3种以上的抗生素,1 400例患者进行抗生素治疗的时间>3周。结论临床抗生素应用不合理相关影响因素主要为相关医师未建立良好的细菌培养意识,对抗生素知识了解不够深入,管理混乱,滥用抗生素。在抗生素临床治疗中,需要加强抗生素使用管理,从而提高抗生素治疗的合理性。
Objective To analyze the influencing factors of unreasonable use of clinical antibiotics. Methods A total of 2 000 patients were treated with antibiotics in our hospital. The clinical data of the patients were retrospectively analyzed, including the application time and types of antibiotics, bacterial culture conditions and other data. The factors influencing the unreasonable use of clinical antibiotics were analyzed. RESULTS Of the 2 000 antibiotic-treated patients, 26.0% were bacterial cultures, 840 were defined as infectious diseases, 1,440 were treated with more than 3 antibiotics, and 1 400 were treated with antibiotics Time> 3 weeks. Conclusion The main influencing factors of unreasonable clinical antibiotics application are related physicians not establishing a good sense of bacterial culture, insufficient understanding of antibiotic knowledge, disorder management and abuse of antibiotics. In the clinical treatment of antibiotics, the need to strengthen the use of antibiotic management, thereby enhancing the rationality of antibiotic treatment.