抗菌药物临床应用专项内审

Specialized Internal Audit on Clinical Application of Antibacterial Drugs

通过对某院抗菌药物临床应用的专项内审,发现抗菌药物临床应用主要存在以下问题:多种抗菌药物使用率较高;抗生药物应用不合理情况;手术科室病原学检查率低;用药频次不正确;未经病原学送检,选择高级别的抗菌药物;不按说明书要求给药;用药疗程过长;手术病人预防用药时间过长等问题。针对这些问题医院采取积极措施,完善制度,加强教育培训,召开专题听证会讨论应用抗菌药物的合理性。

During the specialized audit on antibacterial medicine＇s application in hospitals, we had the following findings： the probability of using muhipIe antibacterial medicine is relatively high; 60% of discharged patients＇ use of antibiotic drugs tend to be irrational ; etiology checking rate in surgical departments is low ; frequency of drug use is incorrect ; the choice of high - level antibacterial drugs without etiology inspections; drug prescription without following the use specifications; medication treatment lasts too long; special attention should be paid to surgery patients＇using the preventative medication for long time ; the use frequencies of antibacterial medicine in outpatient department and emergency room are both greater than the standard requirement ; there are gaps between clinical diagnosis and actual drug usage. To address these problems hospitals should take active measures, improve the system, reinforce education, training and examination, hold special hearings to discuss about rational application of antibiotics.