我院100例社区获得性肺炎患者抗菌药物应用分析

Analysis of the Utilization of Antibacterial Drugs in 100 Cases of Community-acquired Pneumonia in Our Hospital

目的:了解我院社区获得性肺炎(CAP)患者抗菌药物的应用情况。方法:采用回顾性调查方法,对我院2009年CAP患者的抗菌药物应用情况进行统计、分析。结果:100例CAP患者中,入院4h内接受抗菌药物治疗的有96例(占96.0%);共涉及8类54种抗菌药物,其中应用最多的是头孢菌素类,达135频次(占51.7%),其次为喹诺酮类,共57频次(占21.8%);联合用药以头孢菌素类+喹诺酮类最常见(占51.0%)。结论:我院对CAP的诊疗基本符合"CAP的单病种质量控制指标",抗菌药物应用基本规范,但在品种选择、应用时机及联合用药方面仍存在个别不合理现象,需进一步加强管理。

OBJECTIVE：To understand the application of antibacterial drugs in patients with community-acquired pneumonia （CAP） in our hospital. METHODS： By retrospective study, the utilization of antibacterial drugs in CAP patients in our hospital in 2009 was analyzed statistically. RESULTS： Of 100 CAP patients, 96 patients received antibacterial drugs therapy within 4 hours after admission（96.0%）. 54 kinds of 8 categories antibacterial drugs were involved, in which the most frequently used category is cephalosporins with 135 cases times （51.7%）, followed by quinolones with 57 cases times （21.8%）. The most familiar drug combination was cephalosporins combined with quinolones （51.0%）. CONCLUSION： The diagnosis and treatment of CAP basically conform to ＂The Single Disease Quality Control Indicators of CAP＂, and the utilization of antimicrobial drugs basically achieves the degree of standardization. In the choice of varieties, medication time and drug combination, there are some unreasonable phenomenon existing, so the hospital have to further strengthen the management.