950例住院患者抗菌药物应用与分析

Analysis of Antibiotic Usage in 950 In-patient Cases

目的探讨医院抗菌药物应用情况及用药合理性。方法随机抽取2009年5月份全部出院病历950份,进行回顾性调查。结果838例使用抗菌药物,抗菌药物使用率为88.2%;预防用药占71.6%,治疗用药占28.4%,内科系统72%为治疗用药,外科系统94%为预防用药;单一用药占56.2%,二联用药占38.9%,≥三联用药占4.9%;治疗用药送检率为69.7%,医院感染率为2.1%。结论抗菌药物管理是个系统工程,要加强抗菌药物知识更新培训和医务人员职业道德教育,以提高抗菌药物合理应用水平。

OBJECTIVE To survey the antibiotic usage and its rationality in clinical. METHODS From Jan 2009 to May of 2009, 950 medical records were selected to conduct a retrospective investigation. RESULTS The incidence of antibiotic usage was 88.2%, 71. 6% cases were intended for active treatment, 28.4% for preventive regimen. 72% cases in internal medicine were for active treatment whereas 94% were for surgical prophylaxis. In terms of the antibiotic use, single drug accounted for 56.2 %, two-drug 38.9% and three-drug 4.9%. Inspection rate of drug treatment was 69. 7% and hospital infection rates was 2. 1%. CONCLUSIONS To improve antibiotic administration, systematic efforts are required to keep the medical staff updated of antibiotic principles so as to improve clinical rational use of antibiotics.