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目的了解医院住院患者抗菌药物临床应用现状。方法采用床旁现场调查与病历调查相结合的方法,对医院2016年11月20日住院患者抗菌药物使用情况进行横断面调查。结果 490例住院患者中使用抗菌药物182例,住院患者抗菌药物使用率为37.14%,其中不合理用药17例。不合理问题为:无指征用药以及品种的选择、给药途径、用法用量、联合用药不适宜。结论该院呼吸科、儿科、微创外科、产科、泌尿外科抗菌药物使用量较大,横断面调查是实现常态化监管的较好措施。
Objective To understand the clinical application of antimicrobial agents in hospitalized patients. Methods By using the combination of bedside field investigation and medical record investigation, the cross-sectional investigation on the use of antimicrobial drugs in hospitalized patients on November 20, 2016 was conducted. Results Among the 490 inpatients, 182 were antibacterials, and the antibacterials in hospitalized patients were 37.14%, of which 17 were irrational. Irrational issues are: no indications for medication and the choice of species, route of administration, dosage, combination therapy inappropriate. Conclusion The department of respiratory medicine, pediatrics, minimally invasive surgery, obstetrics and urology antibacterial drugs are used in large quantities, cross-sectional survey is to achieve better regulation of the normal measures.