论文部分内容阅读
目的:了解和分析我院2005年抗茵药物使用现状和存在问题。方法采用整群抽样法,对2005年1—12月,住院患者抗茵药物现状作回顾性调查。结果:共调查5149份病历,抗菌药物的使用率76.36％预防性用药占55.44％联合用药占43.46％主要以经验用药为主,抗菌药物应用频率最高的种类是头孢菌素类,其次是克林霉素、青霉素和喹诺酮类。主要存在的问题有外科系统预防性使用抗菌药物过宽,围手术期预防用药不规范,经验用药和选用高档抗茵药物较多,病原学送检率低。结论我院抗茵药物使用率处于国内中位水平,不合理应用仍占相当比例,加强抗菌药物合理应用与规范化管理,提高医务人员合理用药整体水平是医院感染管理工作的重要内容之一。
Objective: To understand and analyze the current situation and existing problems of anti-drug use in our hospital in 2005. Methods A cluster sampling method was used to retrospectively investigate the status of anti-inflammatory drugs in hospitalized patients from January to December in 2005. Results: A total of 5149 medical records were investigated. The antibacterials utilization rates were 76.36%, prophylactic drugs accounted for 55.44%, and combined drugs accounted for 43.46%. The main use of empirical drugs was antibacterials, followed by cephalosporins, Mycophenolate, Penicillin and Quinolones. The main problems are the prophylactic use of surgical systems antimicrobial drugs is too wide, perioperative prevention of non-standard medication, experience and selection of high-grade anti-inflammatory drugs more, the etiology of the low rate. Conclusion The utilization rate of anti-virus drugs in our hospital is at the middle level in our country, irrational application still occupies a considerable proportion. It is one of the important contents of nosocomial infection management that strengthening the rational application and standardized management of antimicrobial agents and improving the overall level of rational drug use by medical workers.