2010年上半年医院消化科住院患者抗菌药物使用情况分析

An Analysis of Antibiotics on the Inpatients in Digestive Department during the First Half Year of 2010

目的探讨医院住院患者抗菌药物使用现状及合理用药情况。方法收集2010年上半年南京市某医院消化科住院病历,回顾性分析抗菌药物的使用情况。结果 346例患者使用了抗菌药物,占83.98%;头孢菌素类药物使用率最高,其次为喹诺酮类、硝基咪唑类;抗菌药物单用为7.28%,二联65.05%,三联11.65%;内镜手术后26.92%的患者使用抗生素时间>7 d。结论该院消化科住院患者抗菌药物使用情况基本合理,但也存在一些不合理现象,如:无指征应用抗菌药物、用药时机不合理、用药时间过长、联合用药不合理等。

Objective To analyze the current situation and rational drug use of antibiotics in a certain digestive department.Methods Collected were the medical records of digestive department in a certain hospital of Nanjing during the first half year of 2010 was collected,and retrospective analysis was made of the use of antibiotics.Results Antibiotics were used in 346 patients and the rate was 83.98%,of which cephalosporin was the highest,and the next were quinolone and nitro-imidazole.The rate of single drug,two-drug and three-drug was 7.28%,65.05%,and 11.65% respectively.After endoscopic surgery,the usage of antibiotics was more than 7 days in 26.92% of the patients.Conclusion The use of antibiotics was reasonable on the whole,but there were still some problems,such as medication with no indication,unreasonable treatment time,unreasonable periods of medication and unreasonable combination.