住院患者抗菌药使用现状调查

Investigation of the Utilization of Antibiotics in Inpatients

目的:了解我院抗菌药的临床使用现状和存在问题,为抗菌药的合理应用和管理提供科学的依据。方法:调查医院2006年8月21个临床科室的1410份住院病历,内容包括抗菌药使用情况、选用原因和依据、联用情况、给药途径、感染病例细菌培养送检情况等,并进行统计分析。结果:共使用抗菌药9大类44种,使用最多的是头孢菌素类和喹诺酮类。抗菌药使用率61.70%,其中预防用药比例35.06%;联合用药比例43.10%;病原体培养及药敏试验的送检率为31.86%,抗菌药物选用依据以经验用药为主。结论:抗菌药物合理应用的管理须进一步加强。

Objective： To investigate the utilization of antibiotics in our hospital, for improving the management and proper clinical utilization, Method： The data of 1 410 inpatients had been analyzed by field survey in 21 department of hospital in August, 2006. Result： The rate of antibiotic usage was 61.70% , those antibiotics were 44 in total and could be classified into 9 acatalogues. Cephalosporins and quinotones were the the first and the second. The rate of preventive antibiotic usage was 35.06%. the rate of combined antibiotic usage was 43, 10%, Only 31.86% infectious patients were made bacteriaculture and antibiotics drugsensitive test. Most antibiotics were used according to clinical experience. Conclusion： The management of the usage of antibiotics in reason must be strictly enhanced,