1566例抗菌药物的调查分析与对策

An Analysis of 1566 Cases of Inpatients Using Antibiotics and the Countermeasures

目的了解我院抗菌药物的应用状况,指导临床合理使用抗菌药物。方法回顾性调查2005年3月份出院的2188例患者中,1566例的抗菌药物的使用情况进行统计分析。结果2188例中使用抗菌药物的为1566例,使用率为71.57％。预防性用药占55.87％,联合用药率为46.74％,居前四位的药物依次为头孢菌素类、硝基咪唑类、喹诺酮类和青霉素类,以经验用药为主。结论我院抗菌药物使用率较高,指征掌握不够严格,药品趋向高档化和病原送检率低等问题。

Objective To investigate the application of antibiotics in our hospital and advocate to use antibiotics rationally. Method Retrospective survey of 1566 cases with antibiotics records in 2188 cases on March 2005 is carried out. Results Of the 2188 subjects. 1566 （71.57%） used antibiotics. The use of antibiotics for infection prevention in 875 cases （55.87%）. Among them 732 cases （46.74%） used a combination of at h-ast two antibiotics. The antibiotics most widely used are cephalosporins, nitroimidazoles, quinolones and penicillins. Conclusion The problems are that the rate of application of antibiotics in our hospital is higher; and the indication for using antibiotics is not clear for some doctors： the trend of using more expensive drugs： and low rate of checking the pathogen.