综合性医院抗菌药物临床使用调查  

Clinical Use of Antibiotics in General Hospitals

作　　者：沈燕君[1] 周惟[1] 许兆军[1] 应黎明[1] 王春英[1] 吕佩君[1] 杨毓芳[1] 

机构地区：[1]宁波市第二医院,浙江宁波315010

出　　处：《中华医院感染学杂志》2006年第2期201-203,共3页Chinese Journal of Nosocomiology

基　　金：宁波市医学科研课题(200433)

摘　　要：目的了解我市医院抗菌药物的使用情况。方法对12所综合性医院4月份的4 391份出院病历进行抗菌药物使用调查。结果医院药品消耗占医疗收入55.16%,抗菌药品消耗占全部药品收入的32.66%;内科抗菌药物使用率62.11%,无指征使用抗菌药物占23.92%,抗菌药物联合使用率49.89%;平均抗菌药物使用天数10.83 d;外科抗菌药物手术前用药占71.00%,围术期使用率为20.48%,围术期联合用药占14.50%,手术后抗菌药物使用率96.55%,预防用药及治疗用药分别占62.37%、24.17%。结论我市医院抗菌药物的使用较高,医疗机构中药品仍是业务收入中重要一项内容,应进一步加强对抗菌药物的临床管理。OBJECTIVE To evaluate the use of antibiotics in general hospitals of Ningbo. METHODS Totally 4 391 case history records in April, 2004 of 12 hospitals were investigated on the use of antibiotics. RESULTS Medicines incomes accounted for 55.16% in total revenue in a hospital, and antibiotics accounted for 32.66% among medicines incomes. Antibiotics using rate Was 62.11% in internal medicine departments. The percentage of antibiotics using without evidence was 23.92%,the combined antibiotics using rate was 49.89%. The average duration for antibiotics using was 10.83 days. Antibiotics using rate in surgery departments before operation was 71.00%, during operation was 20. 48%, the combined antibiotics using rate during operation was 14.50%, antibiotics using, rate after operation was 96.55%. Antibiotics using for treatment accounted for 62.37% and for prevention was 24.17%. CONCLUSIONS Antibiotics using rate is high in hospitals in Ningbo. Income of medicine is also an important part of total revenue in a hospital： We should pay more attention to management on clinical use of antibiotics.

关 键 词：抗菌药物 合理用药 调查 

分 类 号：R969.3[医药卫生—药理学]