113例肺部感染住院患者抗菌药物临床应用分析  

Analysis on Clinical Application of Antibiotics in 113 Inpatients with Pulmonary Infection

作　　者：邓超英[1] 周颖[1] 周国民[1] 汪泽[1] 

机构地区：[1]四川省内江市第二人民医院,四川内江641100

出　　处：《中国药业》2011年第5期49-51,共3页China Pharmaceuticals

摘　　要：目的了解成人肺部感染住院治疗中抗菌药物临床应用情况,并分析其合理性。方法抽取出院归档肺部感染病历113份,统计分析其中112例使用了抗菌药物的患者情况。结果抗菌药物使用率为99.12%,共应用抗菌药物15类45种,其中非限制使用类、限制使用类、特殊使用类分别为15种、18种、12种,使用患者分别为89例、115例、69例;抗菌药物的使用均为静脉给药,其中有2例合并口服给药;抗菌药物单一使用的患者占51.79%,联合用药率为48.21%,更换使用率为33.04%。结论所调查医院的抗菌药物临床应用起点高,存在无指征应用特殊使用类抗菌药物、普遍经验性使用抗菌药物等现象,有待进一步规范。Objective To investigate the clinical application of antibiotics in inpatients with pulmonary infection and to analyze its rationality.Methods The medical records in 113 discharged cases of pulmonary infection were collected.Among them,112 cases treated with antibiotics were statistically analyzed.Results The use rate of antibiotics was 99.12%,involving 45 kinds of 15 categories and including non restricting use,restricting use and special use,which were 15,18 and 12 kinds respectively.The case-times were in 89,115 and 69 cases respectively.One hundred and twelve cases were administrated intravenously,including two cases of combined oral administration.The cases of single use of antimicrobial drug accounted for 51.79%（58/112） and combination medication 48.21%（54/112）.The replace use rate was 33.04%（37/112）.Conclusion The clinical application of antibacterial drugs in our hospital had higher starting point.Using special antimicrobial drugs without indication and using antimicrobial drugs empirically should be further standardized.

关 键 词：肺部感染 抗菌药物 合理应用 调查分析 

分 类 号：R969.3[医药卫生—药理学] R978[医药卫生—药学]