江西医学高等专科学校第一附属医院2012—2016年无指征使用抗菌药物病历分析

Analysis of Medical Records for Non-indicative use of Antibiotics in First Affiliated Hospital of Jiangxi Medical College from 2012 to 2016

目的:对无指征使用抗菌药物病历进行分析,为促进临床合理使用抗菌药物提供参考。方法:整理我院2012—2016年点评的住院患者病历,对无指征使用抗菌药物病历进行归纳总结。结果:共点评住院患者病历1030份,其中抗菌药物病历430份,抗菌药物使用率为44.40%,无指征使用抗菌药物病历32份,无指征使用抗菌药物病主要表现在某些症状变成抗菌药物应用指征、其他感染变成抗菌药物应用指征、"预防式"使用抗菌药物、满足患者"需求"等方面。结论:我院抗菌药物使用率符合要求,但无指征使用抗菌药物现象依然存在,仍需加强意识与管理,从而有效保障患者的用药安全。

Objective:To provide reference for rational use of antibiotics in clinic by analysis of medical records for non-indicative use of antibiotics.Methods:The medical records evaluated in our hospital from2012to2016of inpatient were arranged,and the medical records for non-indicative use of antibiotics were reviewed and summarized.Results:A total of1030inpatients medical records were evaluated,among which there were430antibiotic medical records,the utilization rate of antibiotics were44.40%,including32non-indicative antibiotic medical records.Non-indicative antibiotic records mainly reflected in some symptoms being indications for the use of antibiotics,other infections being indications for the use of antibiotics,prophylactically using antibiotics,meeting the inpatients’needs.Conclusion:The utilization rate of antibiotics could meet the requirements,but the phenomenon of non-indicative use of antibiotics still exists in our hospital,and further awareness and management should be strengthened to ensure the inpatiens’medical safety.