某精神病专科医院2018年抗菌药物使用分析

Analysis of Antibiotics Use in a Psychiatric Hospital in 2018

目的评价某精神病专科医院抗菌药物使用情况,为临床合理用药提供参考。方法利用医院信息系统收集某精神病专科医院2018年出院患者中使用抗菌药物的医嘱,提取患者信息,分析患者病情、用药情况、送检情况等,评价合理性。结果 3 943份出院医嘱中,使用抗菌药物的675份,抗菌药物使用率为17. 12%,抗菌药物使用强度为2. 07;临床标本送检率为24. 15%,共检出菌53株,以铜绿假单胞菌为主(20. 75%),主要感染部位以呼吸道为主(72. 00%);常用抗菌药物使用频度最高的为阿莫西林克拉维酸钾、哌拉西林他唑巴坦、头孢曲松钠。结论精神病专科医院对多重耐药菌的现象应给予重视,注意防控。

Objective To evaluate the use of antibiotics in a psychiatric hospital to provide evidence for clinical rational drug use. Methods The hospital information system( HIS) was used to collect the medical advice on the use of antibiotics in patients discharged in 2018 in a psychiatric hospital. The patients’ information was extracted,the patients’ condition,medication and inspection were analyzed to evaluate its rationality. Results Among the 3 943 outpatient orders,antibiotics were used in 675 outpatient orders. The antibacterial use rate was 17. 12%,the antibacterial use intensity was 2. 07,and the antibacterial drug test rate was 24. 15%. Fifty-three strains of bacteria were detected,mainly pseudomonas aeruginosa( 20. 75%). The main infection site was respiratory tract( 72. 00%). The most frequently used antibiotics were amoxicillin and clavulanate potassium,piperacillin sodium and tazobactam sodium,ceftriaxone sodium. Conclusion Psychiatric hospitals should pay more attention to multi-drug resistant bacteria and should strengthen prevention and control.