县级医院抗菌药物应用情况调查

Application investigation of antibacterial agent in a county-level hospital

目的：分析本院抗菌药物使用现状，并探讨对策，为提高合理用药水平提供科学依据。方法采用回顾性调查方法，随机抽取本院2013年7～12月内科、外科、妇科和儿科300例住院患者的临床资料进行统计分析。结果抗菌药物使用率达59.33%（178/300），使用种类最多的是头孢菌素类，占81.90%（181/221），其中以第三代头孢居多，占42.99%（95/221）。居前三位的品种依次为头孢他定、头孢呋辛和头孢美唑。不合理用药率为26.97%（48/178）。结论本院抗菌药物使用欠合理，今后应加强医务人员的业务学习和抗菌药物的监管，保证安全、有效、规范、合理地使用抗菌药物。

Objective To analyze the current situation of antibacterial usage in our hospital and discuss the countermeasures so as to provide scientific basis for improving levels of rational drug use. Methods Three hundred inpatients from departments of internal medicine,surgery,gynecology,and pediatrics from July to December in 2013 were randomly selected in our hospital and statistically analyzed by retrospective investigation. Results The usage rate of antibacterial agents reached 59.33%（178/300）.The variety most frequently used was cephalosporins accounting for 81.90%（181/221）, of which the cephalosporin in third generation took the majority accounting for 42.99%（95/221）.The top three varieties were ceftazidime,cefuroxime,and cefmetazole.The rate of irrational drug usage was 26.97%（48/178）. Conclusion The antibacterial agents used in our hospital is not so reasonable.It is necessary to strengthen vocational study of medical staff and supervision of antibacterial agents in order to ensure the antibacterial agents used in safe,effective,standard and rational way.