ICU患者抗菌药物使用强度的影响因素分析

Analysis on Related Factors of High Intensity of Anti-microbial Drug Usage in ICU

目的:分析影响医院ICU抗菌药物使用强度的因素。方法:根据ICU近4月使用抗菌药物强度居高不下的状况,采用"头脑风暴"方法,结合ICU科室用药的实际情况,找出导致抗菌药物使用强度居高不下的相关因素。结果:ICU患者为危重患者,病情较复杂,免疫力低下,易并发感染,且易感染耐药菌;从环境因素、医生护士及操作方法等方面,分析影响抗菌药物使用强度。结论:降低ICU抗菌药物使用强度,在保证疗效的同时,可从上述环境因素、医生护士及工作方法各方面进行整改,做好药敏检测,合理使用抗菌药物。

Objective： To analyse the related factors of high intensity of antimicrobial drug usage in Intensive Care Unit（ICU）. Methods： Based on the higher and higher intensity usage of the antimicrobial drug in the last four months, to explore the related factors for it in ICU by the brainstorming method. Results： The cases in ICU were much more complex and there were so much drug-resistance bacteria in which many factors could influence the high intensity of antimicrobial drug usage. It included the environment, the medical staffs and working methods. Conclusion： In order to lower the high intensity of antimicrobial drug usage and to make a rational use of antimicrobial drug in ICU, it is necessary to improve the related factors including the environment, the medical staff and working methods and to conduct the drug sensitivity detection.