对479例住院病人抗生素使用情况分析

Analysis on the Application of Antibiotic among 479 Inpatients

目的:了解某院住院病人抗生素的应用情况,提高抗生素临床使用的合理性。方法:采用回顾性的调查方法,随机抽查并过录479份住院病历资料。结果:抗生素的使用率为54.49%;使用最多的抗生素依次为青霉素类、喹诺酮类和氨基糖苷类等;预防用药占31.80%,治疗用药占68.20%。治疗性用药病原学送检率为32.02%。结论:抗生素使用率特别是预防性用药偏高,使用时间偏长,病原送检率偏低。今后应提高用药前相关标本的送检率,加强药敏试验和血药浓度的监测,提高抗生素临床使用的合理性。

Objective:To understand the application of antibiotic in a hospital,in order to enhance the rationality of clinical usage.Methods:With the retrospective survey,479 medical records of inpatients were selected and recorded by random checking. Results:The percentage of using antibiotic was 54.49%;Penicillins,Quinolones and Aminoglycosides were the top three applications of antibiotic drugs;the ratio of the preventive application of antibiotic accounted for 31.80%,and the ratio of the therapeutic application of antibiotic accounted for 68.20%. The rate of etiological examination for therapeutic medication was 32.02%. Conclusion:Management should be further strengthened for rational use of antibiotic.