急性支气管炎患者抗菌药物应用分析

Analysis of Antibiotic Application in Patients with Acute Bronchitis

目的:通过对医院236例患有急性支气管炎患者应用抗菌药物的情况分析,为临床应用抗菌药物的合理性提供参考依据。方法:使用临床药物监测系统(CDMS)和电子病历,收集整理2022年1—6月连云港市中医院呼吸内科收治的236例急性支气管炎住院患者使用抗菌药物的情况进行统计分析。结果:在236例急性支气管炎的病例中,应用抗菌药物225例,使用率为95.34%;使用率最高的抗菌药物品种为头孢菌素类,其次是喹诺酮类。应用抗菌药物主要方式为二联用药,占45.76%,其次为单品种用药91例,占38.56%。结论:医院呼吸内科236例急性支气管炎住院患者应用抗菌药物的情况基本合理,但仍然存在一些用药不合理的问题,比如无临床指征用药、不合理的联合用药、用药疗程过长等情况,医院需制定相关措施、进一步加强监督检查工作,提高临床使用抗菌药物的合理性。

Objective:To analyze the use of antibiotics in 236 patients with acute bronchitis in hospitals,so as to provide reference for the rationality of clinical application of antibiotics.Methods:Through sing the Clinical Drug Monitoring System(CDMS)and electronic medical records,collecting and analyzing the use of antibiotics in 236 hospitalized patients with acute bronchitis in the respiratory department from January to June 2022.Results:Among 236 cases of acute bronchitis,225 cases were treated with antibiotics,with a usage rate of 95.34%.The most commonly used antibiotics were cephalosporins,followed by quinolones.The main method of using antibacterial drugs was combination therapy,accounting for 45.76%,followed by single variety therapy in 91 cases,accounting for 38.56%.Conclusion:The use of antibiotics in 236 hospitalized patients with acute bronchitis in the respiratory department of the hospital is generally reasonable,but there are still some problems with unreasonable medication,such as no clinical indications for medication,unreasonable combination medication,and prolonged medication course.The hospital needs to develop relevant measures,further strengthen supervision and inspection work,and improve the rationality of clinical use of antibiotics.