专科医院抗菌药物应用的调查分析

Anti-infective Agents Used in Specialized Hospital: Investigation and Analysis

目的了解我院目前抗菌药物临床应用现状和存在的问题,为医院对抗菌药物管理提供依据。方法回顾性调查2005年4月1 771份出院病历使用抗菌药物的情况。结果抗感染药物使用率94.81%,以联合用药为主,占55.63%,其中预防性用药占63.61%;前10位的抗菌药物中二线及其以上抗菌药物占36.21%;Ⅰ类切口抗菌药物使用时间≥4 d,占90.30%;产科抗感染药物使用率为98.17%。结论加强对临床合理使用抗菌药物督导,采取必要的管理措施。

OBJECTIVE To know the situation and problems of anti-infective agents used in clinics in our hospital. METHODS Antibacterial use of 1771 cases discharged from hospital in April 2005 was retrospectively analyzed. RESULTS The use rate of anti-infective agents was 94.81%, in which the drug combination therapy was the majority and the rate was 55.63%, and the rate of the prophylaxis of infections was 63.61 % ; of the first 10 drugs the use rate of second line and better drugs was 36.21% the use rate of anti-infective agents used for Ⅰ incision for more than 4 days was 90.30%; the use rate of anti-infective agents used in obstetrics was 98.17%. CONCLUSIONS We should enhance the supervising of the use of anti-infective drug and mush adopt management measure.