2006年某基层医院抗菌药物使用调查分析

Antibacterials Application in a Grassroots Hospital in 2006

目的调查医院住院患者抗菌药物的使用情况,指导临床合理用药。方法回顾性调查2006年住院患者抗菌药物的使用及存在问题,对使用中抗菌药物的种类及金额进行统计、比较和分析。结果住院患者使用抗菌药物的金额占住院患者总用药金额的74.23%;用量最大的是头孢菌素类,22 958例出院患者中,有18 771例使用抗菌药物,抗菌药物使用率为81.76%;18 771例病例中送病原菌检查者1462例,病原菌送检率为7.79%。结论抗菌药物应用存在用药剂量偏大、费用偏高。

OBJECTIVE To survey retrospectively the application of antibacterial drugs among inpatients in a grassroots hospital in order to rationally use them. METHODS A retrospective survey was conducted in 2006 and the application of antibacterial drugs, their kinds and cost were statistically compared and analyzed. RESULTS The cost of antimicroblal drugs for inpatients occupied 74.23% of all medicament consumption, the leader one was cephalosporins. From 22 958 discharged cases, 18 771 cases （81. 76%） used the antimicrobial drugs, but pathogens detected only in 1462 cases （7.79%）. CONCLUSIONS The use of antimicrobials in our hospital is with overdosage and higher costs.