住院患者抗菌药物临床应用情况分析

Analysis of Antibiotics Clinical Application in Hospitalized Patients

目的调查分析本院住院患者抗菌药物应用情况,以加强抗菌药物的管理以及为规范本院合理使用抗菌药物提供依据。方法抽取医院2011年6月第2周患者出院病历301份,从抗菌药物使用率、品种选择、联合使用、用药频度及分级管理等情况进行调查、统计,用Excel分类汇总。结果抗菌药物使用率为44.19%,联合用药占26.32%,抗菌用药金额占总用药金额的20.69%;头孢菌素类药物金额居第一;在DDDs排序中注射类药物的DDDs高于口服类。结论本院抗菌药物使用基本合理,但仍需要进一步加强《抗菌药物临床用药指导原则》的学习,同时加大管理、干预力度和严格控制用药指证。

Objective To investigate and analyze the application of antibiotics in hospitalized patients, so as to strengthen the management of antibiotics and provide a basis for the rational applicaiton of antibacterial drugs in medical institutions. Methods A total of 301 medical records of non-surgical patients leaving the hospital in the second week of June 2011 were extracted in order to make a survey and statistics ranging from antimicrobial agents usage, select of varieties, combined use, medication frequency and grading management, and classify and integrate them by Excel. Results The application rate of antimicrobial was 44.19% , combined application accounting for 26.32% , antibacterial drug amount occupies a share of 20.69% of the total amount of drug use ; amount of cephalosporin drugs ranging in the first place; in the DDDs order the DDDs of injection drugs sort higher than oral class. Conclusion The application of antibiotics is basically rational, however, we still need to strengthen its management and strictly control of drug application evidence.