《抗菌药物临床应用指导原则》依从性研究

Compliance with Guiding Principles of Clinical Application of Antibacterials

目的:了解《抗菌药物临床应用指导原则》的落实情况。方法:选取长沙和广州两省会城市6家三级综合性医院2005年7月所有甲状腺手术出院病历,从各家医院随机抽取10份,共60份,将调查内容逐项填入调查表,依据《抗菌药物临床应用指导原则》进行统计、分析。结果:6家医院的平均住院时间为(10·18±3·71)d,平均住院费用为(7538·50±631·99)元,平均抗菌药物费用为(705·21±91·10)元;抗菌药物品种选择的依从率平均为35%,给药时机的依从率平均为80%,平均用药时间为6·38d。结论:贯彻、落实《抗菌药物临床应用指导原则》不理想,相关部门应组织培训并加强监管。

OBJECTIVE： To investigate the implementing status of the Guiding Principles of Clinical Application of Antibacterials. METHODS： A total of 60 case histories of patients who had undergone thyroidectomy and discharged from hospital were selected in July 2005 from six third level hospitals （10 from each hospital） in Changsha and Guangzhou for a questionnaire survey and a statistical analysis based on Guiding Principles of Clinical Application of Antibacterials. RESULTS： The average hospital stay was（10.18 ± 3.71） days; the average cost of hospitalization was（7 538.50± 631.99） yuan and the average cost on antibacteirals was （705.21 ± 91.10） yuan. The average compliance rates in the choice of drug kinds and medication opportunity were 35% and 80% respectively. The average medication duration was 6.38 days. CONCLUSION： The implementation of the Guiding Principles of Clinical Application of Antibacterials was far from ideal, thus the related department should offer training and tighten control on the use of antibacterials.