5302例住院患者抗菌药物使用的调查  

Antibacterial Use in Hospital: Investigation and Analysis of 5 302 Inpatients

作　　者：黄丽萍[1] 吴伟[1] 潘曼[1] 

机构地区：[1]北海市合浦卫校附属医院,广西北海536100

出　　处：《中华医院感染学杂志》2006年第4期431-433,共3页Chinese Journal of Nosocomiology

摘　　要：目的调查和分析我院抗菌药物的使用情况，提高临床使用抗菌药物的合理性。方法采用整群抽样的方法，回顾性地调查我院2004年1～12月住院患者抗菌药物的使用。结果共调查5302份病历，抗菌药物的使用率为70．24％，联合用药占45．22％，二联占36．68％，三～四联占8．54％；预防性用药的比例很大，占48．93％；以静脉给药为主，占74．03％；应用抗菌药物，前3位为青霉素类、氨基糖苷类、头孢类；外科手术患者抗菌药物使用率为94．49％，Ⅰ类切口抗菌药物联合使用率为57．14％。结论加强抗菌药物合理应用的管理是十分必要的。OBJECTIVE To look into and analyze the application of antibacterial used in our hospital in order to enhance the rationality of clinical usage. METHODS We conducted the survey by means of picking out examples in numbers within a definite range, looking back at the records with regard to it from Jan 2004 to Dec 2004. RESULTS Altogether there were 5 302 medical records. The percentage of using antibacterial was 70.24%, from which 45.22-36.68% were used two kinds and 8. 54% were used more than two kinds. As to the basis, preventive use taken up a large proportion, accounted for 48. 93% ; the main route was by intravenous injection, which added up to 74.03%. Of the antibacterials applied, the first three were penicillins; aminoglycosides; cephalosporins. The percentage for surgical application was 94.49%, from them 57.14% used 2 or more kinds for treatment of incision of type Ⅰ. CONCLUSIONS It is very necessary and urgent to supervise the management of the rational application of antibacterial.

关 键 词：抗菌药物 调查分析 管理 

分 类 号：R969.3[医药卫生—药理学]