儿科住院患者抗菌药应用调查

Analysis of the Usage of Antibacterials in Pediatric Inpatients

目的:了解我院住院患儿抗菌药的应用情况,促进临床合理使用抗菌药。方法:采用回顾性调查方法,对2012年1～3月出院的儿科住院患者使用抗菌物的品种、用药频度、联合用药等进行调查分析。结果:1 188例出院患儿中有1 099例应用抗菌药,使用率达92.5%,使用强度为每百人天66.6DDDs(按成人规定日剂量标准计算),涉及5大类19种,其中单用1 040例(94.6%),二联59例(5.4%),无三联及以上用药,药物敏感度试验及病原学送检率为76.3%。结论:抗菌药使用率过高,使用强度偏大,应采取有效措施,加强抗菌药使用管理。

Objective： To understand the situation of the use of antibacterials in pediatric inpatients and promote rational usage of drugs in hospitals. Methods ： A survey of the use of antibaeterials was made in pediatric inpatients during January-March 2012 and to evaluate the kinds, frequency, combined administration, effectiveness, etc. Results： 1 099 （92.5%） of the total [ [88 patients received 19 kinds of antibacterials in 66.6DDDs of the antibacterial use density in ac- cordance with the adult daily dose rates, l 040（94.6% ） from them used single drugs. 59 （5.4%） used two-drugs and no case used three-drugs. Their susceptibility test and detection rate of pathogenic bacteria were 76.3%. Conclusion：The usage rate and antibacterial use density were very high. The hospital should take effective measures to strengthen its management of antibacterial drug applications.