药历图辅助分析抗菌药物的临床应用  

Pharmaceutical care database chart for analysing clinical application of antimicrobial agents

作　　者：苏东东[1] 吴凌[1] 靳桂明[1] 李自琳[1] 

机构地区：[1]广州军区武汉总医院,湖北武汉430070

出　　处：《中国感染控制杂志》2004年第3期232-233,249,共3页Chinese Journal of Infection Control

摘　　要：目的　利用药历图辅助分析某院抗菌药物使用情况。方法　在全院 2 0 0 2年 5～ 9月间的出院病历中抽查住院时间 >7d ,使用抗菌药物≥ 3d的出院病历 30 5份 ,绘制药历图回顾性分析抗菌药物使用情况。结果　使用频率较高的前 4位抗菌药物是 :第三代头孢菌素、青霉素、喹诺酮类、甲硝唑 ;预防性使用抗菌药物占 5 0 % ,联合用药达 75 .1 4 %。治疗前未做药敏试验占 97.0 5 %。西药费用在医用总经费比率 >5 0 %的科室有 7个 ,抗菌药物在其中占主要部分。结论　须控制第三代头孢菌素的使用 。Objective To analyse the clinical application of antimicrobial agents by pharmaceutical care database (PCD) chart. Methods Medical records of 305 discharged patients who were once hospitalized more than 7 days and received antimicrobial agents at least 3 days were chosen, and PCD chart was drawn for analysing the antimicrobial agents application retrospectively. Results The commonly used antimicrobial agents were the third generation cephalosporins, penicillins, fluoroquinolones, metronidazole, 50% of antimicrobial agents were for prophylaxis, 75.14% of patients received combined antimicrobial agents, 97.05% of patients received antimicrobial agents without performing antimicrobial susceptibility test beforehand. Conclusion The application of the third generation cephalosporins should be restricted, and the frequency and duration of antimicrobical agents application should be reduced.

关 键 词：抗菌药物 数据收集 费用 药物 合理用药 

分 类 号：R978.1[医药卫生—药品]