56例晚期肺癌患者抗生素使用情况分析

An Analysis on Antibiotic Application in 56 Terminal Lung Cancer Patients

目的了解肿瘤科医生在肺癌患者中抗生素的使用现状,为更加安全、合理地使用抗生素提供科学的管理依据。方法回顾性分析2013年1月-2014年1月中国平煤医疗集团总医院肿瘤科一病区86例肺癌患者的病历资料,86例中使用抗生素有56例。结果晚期肺癌抗生素使用率65.1%,行病原学监测的占51.8%,阳性率为31.0%。结论晚期肺癌患者使用抗生素的比例较高,病原学检查率和阳性率较低,医生仍然以经验用药为主,医疗机构的药学部门和管理部门应加强肿瘤科医生对抗生素使用的规范化培训和监督。

Objective To know the current situation of antibiotic application in lung cancer patients and provide basics for scientific managements to use antibiotics more safely and reasonably.Methods A retro- spective analysis from 2013 January to 2014 January in Henan general hospital oncology ward in Pingding- shan what 86 cases of lung cancer patient/s medical records, the use of antibiotics in 86 cases in 56 cases. Re- suits lung cancer rate of antibiotics was 65.1%, monitoring for pathogens accounted for 51.8%, the positive rate was 31.0%. Conclusions The percentage of antibiotic application is high,while the rate of etiology surveillance and positive results is low. Doctors still use antibiotics judging by their experience. The medical institution should strengthen standardized training and supervision of oncologists.