脑卒中住院患者抗菌药物使用调查分析  

Antibiotics Application to Inpatients with Stroke

作　　者：陈利玲[1,2] 叶志弘[1] 陈国锋[2] 卢建平[2] 邵利敏[2] 

机构地区：[1]浙江大学医学院附属邵逸夫医院护理部,浙江杭州310016 [2]余姚市人民医院内科,浙江余姚315400

出　　处：《中华医院感染学杂志》2010年第24期3992-3993,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解医院脑卒中患者抗菌药物使用情况,指导临床合理用药。方法对2008年7月-2009年6月出院的699例脑卒中患者抗菌药物的使用率、使用种类、用药目的及联合用药等情况进行回顾性调查。结果抗菌药物使用率为34.62%,预防性用药占20.25%,联合用药占19.42%,抗菌药物使用种类涉及10大类26种,使用频次最高的是头孢菌素类210例次(56.45%),其次青霉素类53例次(14.25%);不同类型脑卒中在抗菌药物的使用率、预防用药率及联合用药率比较,差异有统计学意义(P<0.05)。结论脑卒中患者抗菌药物使用基本合理,但有待于进一步加强管理和提高。OBJECTIVE To study the status of the application of antibiotics among inpatients with stroke,so as to guide the rational application of antibiotics in clinics.METHODS A retrospective survey about the application of antibiotics,types,purpose and combining application was conducted.RESULTS The percentage of using antibiotics was 34.62%,among which preventive application accounted for 20.25% and combining application accounted for 19.42%.Twenty-six kinds of antibiotics were applied and the first two were cephalosporins（56.45%） and penicillins（14.25%）.The differences among the rate of using antibiotics,the rate of using for preventive application and the rate of combining application were significantly significant（P0.05）.CONCLUSION The application of antibiotics among inpatients with stroke is basically reasonable,but the management should be further strengthened and improved for rational application of antibiotics.

关 键 词：脑卒中 抗菌药物 合理用药 

分 类 号：R978.1[医药卫生—药品]