2005～2007年我院抗菌药物应用分析

Use of Antibiotics in Our Hospital During 2005～2007

目的：了解我院抗菌药物的整体使用情况,为临床安全、合理、有效的使用抗菌药物提供参考。方法：查阅我院2005-2007年门诊处方202 803张,住院病历9 184份,统计2005-2007年我院抗菌药购入金额、品种,计算占化学药、中成药比例进行分析。结果：我院3年间门诊患者抗菌药物使用率平均44.16%,住院患者抗菌药物使用率平均79.14%,抗菌药占化学药、中成药比例平均为29.03%。结论：我院住院患者抗菌药物使用率过高,过多依赖经验治疗,应进一步加强抗菌药的使用监管,促进安全、合理、有效地应用。

OBJECTIVE： To investigate the use of antibiotics in our hospital and for reference of safe, rational and effective use of antibiotics. METHODS： 202 803 prescriptions and 9 184 inpatient medical records in our hospital from 2005 to 2007 were reviewed for analysis of the purchage sum of money, variety and proportion of antibiotics in western medicine and traditional Chinese medicines. RESULTS： Over the three years, an average of 44. 16% of the outpatients versus 79.14% of the inpatients received antibiotics, with antibiotics reprenting 29.3% of western medicine and traditional Chinese medicine in total. CONCLUSION ： The proportion of hospitalized patients who received antibiotics is too high and the doctors excessively rely on experiential therapy, therefore it is urgent to tigten monitoring on the use of antibiotics and promote safe, rational, effective use of antibiotics.