112例社区获得性肺炎患者使用抗菌药的分析

The Analysis of 112 Cases of Community-acquired Pneumonia of Patients with Antimicrobial Drugs

目的通过对宁乡县人民医院112例社区获得性肺炎(CAP)患者的抗菌药物的使用情况进行调查分析和合理性研究,提高医院的用药水平和增强临床医师合理用药意识。方法回顾性分析宁乡县人民医院2009年7月至2010年8月住院治疗的112例CAP患者的抗菌药给药途径、抗菌药使用情况、抗菌药费用及相关费用、联用抗菌药物的品种、临床疗效及不良反应发生情况。结果 CAP抗菌药物的主要给药途径为静脉注射;喹诺酮类和头孢菌素类是应用最广的抗菌药种类;112例CAP患者抗菌药物总费用为121453.5元;治疗以两种抗菌药联用居多,占55.4%;治疗总有效率为99.1%,不良反应发生率为5.3%。结论宁乡县人民医院CAP住院病例抗菌药物应用基本合理。

Objective 112 cases in Ningxiang People＇s Hospital community-acquired pneumonia（CAP） in patients with the use of antibiotics and reasonable investigation and analysis of research,to improve and enhance the level of hospital medicine clinician awareness of rational drug use.Methods A retrospective analysis of Ningxiang People＇s Hospital from July 2009 to August 2010 112 cases of hospitalized patients with CAP route of administration of antimicrobial drugs,antibiotic use,antimicrobial drug costs and related costs,combined with the variety of antibiotics,clinical efficacy and side effects were.Results CAP main route of administration of antimicrobial agents for the intravenous injection;fluoroquinolones and cephalosporins is the most widely used types of antimicrobial agents;112 cases of CAP in patients with a total cost of antibiotics 121453.5 yuan;therapy combined with antibiotics in two majority,55.4%;total effective rate was 99.1%,the adverse reaction rate was 5.3%.Conclusion CAP inpatients in Ningxiang People＇s Hospital antimicrobial agents is reasonable.