住院患者抗菌药物使用情况调查分析

Analysis of situation of using antibiotic in inpatients

目的调查该院住院患者抗菌药物的使用情况,为抗菌药的合理使用与管理提供科学依据,提高该院抗菌药物的治疗水平。方法采用随机抽样法从2009年归档病历中抽查310份,重点对外科、妇科等手术科室进行围手术期用药统计分析,以及重症监护室(ICU)由于多重耐药菌致重症感染患者用药情况加以分析。结果该院住院患者抗菌药物使用率为58.7%。单独用药213例,二联用药97例。呼吸内科ICU药敏试验率符合卫生部的要求(≥40%),其他各科细菌培养和药敏试验率低。结论必须加强对各科使用抗菌药物的管理力度,对抗菌药物的使用实施动态监测和超常预警,采取积极有效的干预措施。

Objective To investigate the use of antibacterial of the inpatient in our hospital,to supply a scientific basis for the rational use and the administration of the antibacterial.Methods Emphasized the drug use during perioperative period in surgery and gynecology and seriously infected cases caused by multiple drug-resistant bacteria in ICU.Results The rate of antibacterial usd in our hospital was 58.7%.213 cases used one kind,97 cases used 2 kinds.The number of correct time and duration of drug use during perioperative period was 21.4.Rate of drug sensitive test in ICU and department of respiration was according to the standard of Ministry of health（≥40%）,but the same of other departments was fairly low.Conclusion Sections must be strengthened and management and use of antimicrobial drugs,antimicrobial drugs on implementing dynamic monitoring and extraordinary use of early warning,take positive and effective measures of intervention.