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目的分析并评价该院抗菌药物专项整治活动情况,为进一步提高临床合理使用抗菌药物提供参考。方法抽查门、急诊处方和出院病历,计算抗菌药物使用强度及各种控制指标等,评价抗菌药物专项整治活动的开展情况及效果。结果医院能按要求开展抗菌药物专项整治活动,明确控制指标,签订责任状,落实抗菌药物管理制度,开展处方点评工作。门、急诊患者抗菌药物使用率达标,但住院患者抗菌药物使用率不达标,住院患者清洁手术预防性用药率高,品种选择不当,疗程长等不合理现象仍存在。结论通过开展为期3年的抗菌药物专项整治活动,医院部分管理指标达标,仍需加大管理和整治力度,对不合理用药进行干预,以提高合理应用抗菌药物水平。
Objective To analyze and evaluate the special rectification activities of antibacterials in this hospital and provide references for further improving the rational use of antibacterials in clinic. Methods Random sampling, emergency prescription and discharge medical records, calculation of the strength of antimicrobial agents and various control indicators, to evaluate the implementation of anti-bacterial special rectification activities and results. Results The hospital can carry out special rectification activities of antibacterials as required, clearly control the indicators, sign the responsibility form, implement the antimicrobial drug management system and carry out prescription reviews. Door and emergency patients have reached the standard of antibacterial drug use, but the inpatient antibacterial drug use rate does not meet the standard, the prophylactic use rate of hospitalized patients with clean operation is high, improper product selection, long course of treatment and other unreasonable phenomena still exist. Conclusion Through the three-year special anti-bacterial drug remediation activities, some indicators of hospital management compliance, still need to step up efforts in management and remediation, unreasonable medication intervention to improve the rational use of antimicrobial drugs.