某农村地区医院内科住院患者抗生素应用分析

Analysis of Use of Antibiotics in Inpatients in a Rural Hospital

目的 :了解农村地区医院抗生素使用情况。方法 :在广东省粤东地区某县医院随机抽取 3 0 0例住院病例进行调查分析。结果 :内科住院患者抗生素使用率为 86.7% ,使用率较高的前 4位药物为青霉素类、头孢菌素类、喹诺酮类、大环内酯类 ;联合用药方面存在明显不合理的情况 ;细菌培养率为 4 .62 % ,未进行过药敏试验。结论

In order to get information on the use of antibiotics in rural areas, 300 hospitalized patients were randomly selected from a rural hospital of Guangdong province and investigated for antibiotic use. The rate of antibiotic use in the hospitalized patients was 86.7?%; the four antibiotics at the top of the list were penicilins, cephalosporins, quinolones and macrolide. The rate of combined use of antibiotics was 68.46?%. The culture of bacteria was carried out in only 4.62?% of the patients and no antimicrobial susceptibility test was conducted. It is concluded that the antibiotics were not used in rational fashion in the rural hospital.