抗菌药物在传染病专科医院使用调查

Antibiotic Usage in Infectious Disease Hospital:Survey and Analysis

目的 了解抗菌药物在传染病专科医院使用的状况，为合理使用抗菌药物提供科学指导依据。方法 在2004年9月-2005年3月对1991例住院患者进行抗菌药物使用调查分析。结果 1991例患者中使用抗蔺药物909例，使用率45．7％；其中单用1种抗菌药物者占66．7％，二联用药28．6％，三联用药4．73％；预防用药占29．3％，治疗用药70．85％；不合理使用为适应证过宽、疗程长、频繁更换等。结论 抗菌药物使用不合理,需要加强抗菌药物临床使用的管理。

OBJECTIVE To investigate and analyze the antibiotic usage in infectious disease hospital, and offer scientific rule for antibiotic usage. METHODS The retrospective investigation of antibiotics usage in 1991 in patients from Sep 2004 to Mar 2005 was carried out. RESULTS From 1991 patients, 909 patients used antibiotics, percentage of antibiotic usage was 45. 7% 66. 7% patients used one antibiotic, 28. 6% patients used twice, 4.73% used triple. From them 29.3% were used for prevention, and 70.85% for treatment;of all the unsuitable use, widen range of the indication, longer usage, changing frequently, etc were the main causes. CONCLUSIONS Unsuitable usage of antibiotics could be found in our hospital. It is necessary for hospital to strengthen the management of antibiotic usage in inpatients.