622例外科病人抗菌药物使用调查分析

Administering antibacterial drugs in surgery:A Survey of 622 cases

目的了解我院住院患者抗菌药物使用情况,为临床合理用药提供参考。方法抽取2004年1-6月间外科系统住院患者病历622份,将相关内容记入“抗菌药物使用调查表”并进行统计分析。结果抗菌药物使用率为86.5%.使用种类以头孢菌素类、青霉素类、喹诺酮类、硝基咪唑类和氨基糖苷类为主,给药途径以静脉注射占70.5%,DDDs排序列前3位分别为头孢曲松钠、甲硝唑和庆大霉素,大多数抗菌药的DUI≤1。结论抗菌药物使用基本合理,但存在着使用比例偏高,药敏试验率较低和不合理用药现象。

Objective To obtain the first-hand information on administering antibacterial drugs in hospitalized patients in our hospital and provide the supervision with right administration of antibiotics in clinic. Methods 622 surgical cases were made the random sampling and the detailed information was put in the table of 'Ques tionary of Antibacterial Drug',and analyzed statistically. Results The results showed that the percentage of administering antibacterial drugs was 86.5% ,and the primary categories as cephalosporin, penicillin quinolone, nitroimidazole, amino glycoside were in the top list among antibiotics. 70. 5% was administered intravenously and the sequence of using antibacterial drugs came with ceftriaxone sodium, metronidazole, and gentamicin in DDDs, the DUI for most antibacterial drugs was less than 1(DUI≤1. Conclusion In general, the use of antibacterial drugs is under management. However, the higher percentage of using antibacterial drugs will counteract the sensitivity test in administering antibacterial drugs and suggests a state of inappropriate administration in antibiotics.