我院住院患者抗菌药物应用情况分析

Analysis of the usage of antibacterial drugs in the inpatients of our hospital

目的了解住院患者抗菌药物应用情况及特点,为抗菌药物的合理使用提供依据。方法回顾性分析676例住院患者抗菌药物的使用情况。结果 676例患者中使用抗菌药物418例,使用率为61.83%,其中合理使用抗菌药物238例(56.94%),不合理使用抗菌药物180例(43.06%);单用185例(44.26%),二联175例(41.87%),三联及以上58例(13.87%);抗菌药物以头孢菌素为主。结论在临床用药过程中还存在越级用药和不规范用药,故应加强合理用药培训,严格分级分类管理,加大督查力度,使抗菌药物使用更合理,患者能获得有效合理的治疗。

Objective To investigate the application status and characteristics of antimicrobial agents in inpatients of our hospital,and to provide the basis for rational use of antibiotics. Methods The use of antibiotics in 676 inpatients was analyzed retrospectively. Results Among 676 cases of hospitalized patients,the use of antimicrobial drugs for 418 cases,and the use rate was 61. 83%. The rational use of antimicrobial drugs for 238 cases,accounting for 56. 94%; the use of antibacterial drugs in 180 cases,unreasonable accounted for 43. 06%. Single use of antibiotics of 185 cases,accounting for 44. 26%; bigeminy antimicrobials of 175 patients,accounting for 41. 87%; triple antimicrobials of 58 cases and above,accounting for 13. 87%.The main antibiotics were cephalosporins. Conclusion There are no standard medication and leapfrog medication in the clinical course of medication,it should strengthen the rational use of training,strict classification management,increase supervision,make reasonable use of antibiotics,and then patients can get a reasonable and effective treatment.