医院抗菌药物应用的调查分析

Antibacterial Use in Departments of Hospital: An Investigation and Analysis

目的了解医院抗菌药物临床应用的现状及合理性,找出相应的管理措施。方法根据设计的调查表,按照统一方法和标准对14个科室3 343例出院患者做回顾性调查。结果抗菌药物总使用率60%,其中预防性应用占总使用率的41%,头孢类药物使用率最高,其次为喹诺酮类,一联用药1 150例,二联用药730例,>三联99例,应用疗程<7 d的1 086例。结论应加大对抗菌药物使用的管理力度,加强对医务人员用药知识的培训,达到抗菌药物合理应用。

OBJECTIVE To investigate the current situation and rationality of clinical usage of antibacterial drugs in our hospital and to find out corresponding supervision measures. METHODS According to the same method and criterion, 3343 medical records of discharged patients in 14 departments were investigated retrospectively by utilizing the designed questionnaire. RESULTS The total application rate of antibacterial drugs was 60%, and the rate of preventive usage took up 41% of the total application rate, the application rate of cephalosporins was the highest, and that of quinolones was the next. For the combined usage of drugs, 1 150 patients were treated with one drug, 730 were treated with two drugs, and 99 were treated with more than three drugs. The treatment period of 1 086 patients was less than 7 days. CONCLUSIONS The usage of antibacterial drugs should be supervised more intensively and the training for medical personnel be strengthened to improve their knowledge of using antibacterial drugs, in order to achieve the rational usage of antibacterial drugs.