抗菌药物应用调查的量化评估与分析  

Quantified evaluation and analysis of antimicrobial usage

作　　者：孟黎辉[1] 郑佳[1] 李婷[1] 

机构地区：[1]首都医科大学附属北京同仁医院,北京100730

出　　处：《中国感染控制杂志》2006年第4期330-332,335,共4页Chinese Journal of Infection Control

摘　　要：目的用量化的手段评价抗菌药物使用的合理性,为抗菌药物的管理提供依据。方法建立评分系统,回顾性调查某院2004年1-5月出院病历1 356份,统计住院患者抗菌药物使用情况,并从适应证、用药剂量、疗程、配伍、药物不良反应等方面进行评价。结果抗菌药物使用率为80.83%,预防用药率为80.65%;以单一用药为主,占88.64%;标本送检率为35.22%,合理用药率为52.28%。结论该院抗菌药物使用尚存在许多问题,需加强规范化使用的管理。Objective To assess the rationality of antimicmbial usage by a quantified method so as to provide reference for the management of antimicrobial agents, Methods A grade system was employed to review 1356 medical records of patients who were discharged from a hospital between January and May 2004, patients＇ antimicrobials usage were assessed from the aspects including indication, dosage, course of treatment, combination and side effects. Results The usage rote of antimicrobials was 80. 83%, the prophylactic usage rote was 80. 65%, the majority （88. 64%） was single usage, specimen detecting rate was 35.22%, the rational antimicrobial usage rate was 52.28%. Conclusion Many problems in antimicrobial usage existed, it is important to strengthen standardized administration.

关 键 词：抗菌药物 合理用药 抗菌药物管理 质量控制 

分 类 号：R969.3[医药卫生—药理学]