1132例住院患者抗菌药物使用率横断面调查

Use Rate of Antimicrobials: A Transverse Section Survey on 1132 Inpatients

目的了解医院抗菌药物横断面使用情况.方法采用横断面调查方法,对2004年6月24日0～24点所有住院患者进行抗菌药物使用调查.结果1 132例住院患者中,抗菌药物横断面使用率为58.83%,联合用药比例为34.08%;在所有使用抗菌药物的患者中,65.92%为单用一种抗菌药物,31.68%为二联使用,2.40%为三联使用;在全院各科室中,以综合ICU使用率最高,为100.00%,其次为肾内科和妇科,分别为90.00%和87.23%;外科抗菌药物使用率（69.68%）明显高于内科（43.08%）;预防用药率五官科最高,达83.64%;全院治疗性用药病原学送检率35.97%.结论我院抗菌药物横断面使用率略高于全国平均使用率,预防用药构成比偏高,治疗性用药病原学送检率较低,需要进一步加强抗菌药物合理应用的管理.

OBJECTIVE To find out about the transverse section use rate of antimicrobials in our hospital. METHODS A transverse section survey was made from midnight on June 24,2004 to midnight on June 25,2004 within all the inpatients. RESULTS Among 1132 inpatients, the transverse section use rate of antimicrobials was 58.83%, the combined medication ratio being 34. 08%. Of all antimicrobial takers 65.92% were given single drug, 31.68% double, and 2.40% were given triple. Among all departments of the hospital, the universal ICU had the highest use rate which was 100. 00%, next to which were those in the departments of nephrology and gynecology, being respectively 90. 00% and 87.23 %. The antimicrobial use rate in surgical department （69. 68%） was remarkably higher than that in medical department （43.08%）. The departments of ophthalmology and otorhinolaryngology had the highest prophylactic use rate which was 83.64 %. Rate of etiological examination for therapeutic medication in the whole hospital was 35.97%. CONCLUSIONS The transverse section use rate of antimicrobial in our hospital is slightly higher than the national average use rate, The constituent ratio of prophylactic medication is on the high side and the rate of etiological examination for therapeutic medication is on the low side, Management should be further strengthened for rational use of antimicrobials.