我院内科抗菌药物使用合理性分析

In Our Hospital from 180 Cases of Patients with Medical Antibacterial Drug Use Rationality Analysis

目的分析我院180例内科患者抗菌药物使用合理性,为临床用药提供参考依据。方法随机抽查180份内科出院患者的病历,分析与评价抗菌药物使用情况。结果 180病例中有146例患者使用抗菌药物,抗菌药物使用率为81.11%;63例患者作过病原学检查(43.15%),病原学检出率为65.08%;使用一种抗菌药物25例(17.12%),两种以上药物的有121例(82.88%);抗菌药物使用时间≤5d的19例(13.01%)、6～10d 55例(37.67)、≥11d 72例(49.32%);预防性用药31例(21.23)、治疗性用药115例(78.77);使用频率最高的是头孢塞圬钠、左氧氟沙星、青霉素、哌拉西林/他巴唑坦、阿奇霉素。结论内科住院患者抗菌药物合理应用有待进一步改进。

Objective Our analysis of 180 cases of patients with medical antibacterial drug use rationality, to offer the reference basis for clinical application. Methods Random inspection in our hospital medical records of patients of 180, analysis and evaluation of the use of antibacterial agents. Results 180 cases has 146 patients use antimicrobial agents, antimicrobial us- age 81.11% ; 63 patients over etiology 43.15% check （85. 7% ）, etiology 65.08% ; Use a kind of antimicrobial agents in 25 patients （ 17. 12% ）, two or more drugs have 121 patients （82. 88% ） ; Antimicrobial use time 5dd acuities 19 （ 13.01% ）, 6 - 10d 55 cases （37.67）, p 11d72 cases （49. 32%）; Prophylaxis 31 patients （21.23）, therapeutic drug 115 patients （78.77）; Use frequency is highest is cephalosporins plug Wu sodium, levofloxacin, penicillin, piperacillin/he ba thiazole jotham, azithromycin. Conclusion Medical inpatients antimicrobial reasonable application needs further improvement.