1780例出院病人抗菌药物应用现状调查  

Investigation of Antimicrobial Applications in 1780 Discharged Patients

作　　者：姜思通[1] 殷秀贞[1] 孙术红[1] 

机构地区：[1]青岛大学医学院附属医院,山东青岛266003

出　　处：《抗感染药学》2006年第4期169-171,共3页Anti-infection Pharmacy

摘　　要：目的:了解某医院抗菌药物使用现状和存在问题。方法:对某院2006年1月份的1780份出院病例进行回顾性调查。对抗菌药物使用率、用药密度,用药种类及构成比,用药时间及联用情况、细菌培养及药敏试验等进行分析。结果:1780例出院患者中,有1379例使用了抗菌药物,抗菌药物使用率为77.47%,其中预防用药占47.50%;只用一种抗菌药物的有234例,占16.97%;使用较多的抗菌药物依次为第3代头孢菌素类(包括抑酶剂联合制剂),氟喹诺酮类,青霉素类(包括抑酶剂联合制剂),硝基咪唑类和大环内酯类;52.57%的患者用药时间<7d;27.41%的患者用药时间>14d;进行药敏试验者仅占全部用药人数的7.11%。结论:住院病人抗菌药物使用中存在使用率高、用药起点高、用药时间长、联用品种多及预防用药比例偏高,细菌培养和药敏试验率低等不合理用药现象。Objective： To investigate the problems in the usage ofantimicrobial agents in a hospital and provide guidan- ce for the rational use of antimicrobial agents in clinic. Methods： Antimicrobial usage in patients who were discharged from hospital in January,2006 was analysed retrospectively by medical record reviewing. Results： l 379 of l 780 discharged patients （77.47%） used antimicrobial agents ,47.50% were for preventive administration;234（16.97%） patients used only 1 kind ofantimicrobial agent.The commonly used antimicrobial agents were the third generation cephalosporins, quinolones, penicillins, 52,57% of patients used antimicrobial agents for less than 7 days and 27.41% tbr more than 14 days.Samples from only 7.11% of patients used antimicrobial agents were performed antimicrobial susceptibility test. Conclusions： Some patients used antimicrobial agents irrationally ,detection rates of samples for antimicrobial susceptibility test was low ,the usage ofantimicrobial agents should be paid attention.

关 键 词：抗菌药物 合理用药 调查分析 

分 类 号：R978[医药卫生—药品]