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目的:了解我院消化科住院患者抗菌药的使用情况。方法:随机抽取我院2007年8月～2008年7月消化科门诊的处方病例392例,对抗菌药的使用情况进行调查分析。结果:392例中使用抗菌药的病例数228例,使用率58.1%,其中口服给药比例为4.4%,静脉给药88.9%。单用一种抗菌药175例(76.6%),联用2种抗菌药44例(19.4%);联用2种以上抗菌药的9例(4.0%)。结论:从DDDs与销售金额的同步性分析,我院消化科住院患者抗菌药应用基本合理。但应注意静脉给药比例偏大及细菌耐药性等问题,临床用药的合理性仍需加强。
Objective: To understand the use of antibacterials in hospitalized patients with gastroenterology in our hospital. Methods: A total of 392 prescribing cases were collected from our department from August 2007 to July 2008 in our department, and the use of antibacterials was investigated. Results: In 392 cases, the number of cases using antibacterials was 228, with the usage rate of 58.1%. The oral administration ratio was 4.4% and that of intravenous administration 88.9%. 175 cases (76.6%) with one antibiotic alone, 44 cases (19.4%) with two antibiotics, and 9 cases (4.0%) with more than two antibiotics. Conclusion: From the DDDs and the synchronization of the amount of sales analysis, our hospital inpatient antibacterials in patients with basic and reasonable application. However, it should be noted that the proportion of intravenous administration is too large and bacterial resistance and other issues, the rationality of clinical medication still needs to be strengthened.