北京大学医院住院患者抗感染药物应用调查

Use Survey of Anti-infection Drugs to our Inpatients in Beijing University Hospital

目的了解医院住院患者抗感染药物的应用情况,为临床合理用药和科学管理提供依据。方法对北京大学医院2009年1-12月出院的331份病历进行抗感染药物使用的回顾性调查。结果抗感染药物使用率为45.02%,单药使用率为89.26%,2联使用率为10.74%。喹诺酮类和头孢菌素类抗感染药物的联用是最常见的联用形式。头孢菌素类抗感染药物的品种数和使用人数最多。经验用药占80.54%。外科预防用药率为83.87%,内科治疗用药率为97.46%。结论我院抗感染药物存在不合理应用现象,经验用药和预防用药所占比例较大,而根据病原菌及药敏结果合理使用抗感染药物至关重要。

Objective To probe into the application status of anti-infection drugs to our inpatients,and to provide evidences for clinical rational use and scientific management of the anti-infection drugs.Method Use of anti-infection drugs to 331 inpatients of Beijing university hospital was analyzed between Jan and Dec 2009.Results Of the 331 patients,45% were receiving anti-infection drugs.As for active treatment,single drug consisted of 89.26%,two-drug 10.74%.The combination of cephalosporins and quinolones were the most common form.The most widely used kinds of anti-infection drugs were cephalosporins which had the largest number of varieties.The practical experience in medication accounted for 80.54%.The preventive medication rate in surgery was 83.87%.The rate of treatment in medical department was 97.46%.Conclusion There is unreasonable use in clinical practice.The practical experience in medication and preventive medication still prevailed.It is very important to use anti-infection drugs rationally according to the pathogeny and the test of drug sensitivity.