住院患者抗菌药物临床应用横断面调查

Clinical Application of Antimicrobial Agents for Inpatients: A Cross Section Investigation

目的了解某医院住院患者抗菌药物临床应用现状。方法采用横断面调查的方法,调查1d的全院住院患者中抗菌药物的使用种类、给药途径、用药量。结果1347例住院患者中,689例使用抗菌药物,使用率为51.15%;总DDD为1377.73,使用指数为102.28;抗菌药物使用指数排在前5位的科室为呼吸科(272.58)、口腔科(193.86)、泌尿外科(158.15)、普外科(157.82)、神经外科(155.69)。结论使用指数能较准确反映抗菌药物利用情况,口腔科、泌尿外科、普外科的抗菌药物使用过多。

OBJECTIVE To investigate the clinical application of antimicrobial agents for inpatients in a hospital. METHODS A cross section investigation method was used to survey the types, administration route and dosage of antimicrobial agents for patients in a hospital within a day. RESULTS Among 1347 inpatients, 689 used antimicrobial agent, the usage rate was 51.15%. The total number of defined daily dose （DDD） was 1377.73, DDD rates was 102.28 per 100 inpatients. Departments with top five defined DDD were respiratory department （272.58/100 inpatients）, stomatology department （193.86/100 inpatients）, urological department （158. 15/100 inpatients）, general surgical department （157. 82/100 inpatients） and neurosurgical department （ 155. 69/100 inpatients）. CONCLUSIONS DDD rate can reflect correctly the application of antimicrobial agents, the application of drugs for patients in stomatology department, urological department and general surgical department is overused.