市级医院抗菌药物使用调查分析

Investigation and Analysis of the Usage of Antibiotics in City Hospitals

目的:了解市级医院抗菌药物使用的基本情况及存在问题。方法:根据设定项目调查两市级医院2005年4月所有出院患者的病历。结果:3599份病历中2773份使用抗菌药物,使用率77.05%。两医院抗菌药物使用率分别为76.6%、77.5%,预防用药比例均高于治疗用药,联合用药中单用均逾50%,二联均近40%;手术病人术后均使用抗菌药物,逾60%病例术后使用时间大于72小时。两医院使用量前三位的抗菌药物都属一线药物。结论:市级医院仍存在较多不合理用药问题,必须进一步加强管理。

Objective： To know the basic conditions and existed problems of the usage of antibiotics in city hospitals. Methods： According to designed items, to review the 3 599 cases of history of patients who had left the two city hospitals in period of April, 2005. Results： Among them there were 2 773 cases where antibiotics were used, the rate of the use being 77.05% in total. The rates of use in the two hospitals were 76.6% and 77.5% respectively. The preventive usage rates were more than the cure ones in both hospitals. Among the drug combination, the single ones were more than 50%, the double ones were near 40% in both hospitals. All the patients had used antibiotics after being operated in both two hospitals too. The use time was more than 72 hours in more than 60% cases. And the first three kinds of used antibiotics were the nonrestrictive ones. Conclusion： There were the problems of abuse of antibiotics in the city hospitals yet, so the controlling antibiotics abuse must be strictly enhanced.