CAJ | 학술논문

目的：调查分析我院住院患者抗菌药物的使用情况，为精神科临床合理使用抗菌药物提供参考。方法：随机抽取2012年1-6月我院1048例出院患者病历，对患者基本情况及抗菌药物的使用情况进行回顾性调查分析。结果：1048例出院患者中，感染率为4.01%，主要为呼吸系统感染（59.51%）；抗菌药物平均使用率为13.16%，使用强度为3.57 DDD ，使用频度较高的抗菌药物依次为青霉素类、头孢菌素类、氟喹诺酮类抗菌药物；病原学送检率为35.51%；临床抗菌药物使用合理率为61.59%。结论：我院抗菌药物临床应用仍存在不合理现象，应进一步加强医院感染的预防及临床抗菌药物应用的监管，促进抗菌药物的合理应用。
목적：조사분석아원주원환자항균약물적사용정황，위정신과림상합리사용항균약물제공삼고。방법：수궤추취2012년1-6월아원1048례출원환자병력，대환자기본정황급항균약물적사용정황진행회고성조사분석。결과：1048례출원환자중，감염솔위4.01%，주요위호흡계통감염（59.51%）；항균약물평균사용솔위13.16%，사용강도위3.57 DDD ，사용빈도교고적항균약물의차위청매소류、두포균소류、불규낙동류항균약물；병원학송검솔위35.51%；림상항균약물사용합리솔위61.59%。결론：아원항균약물림상응용잉존재불합리현상，응진일보가강의원감염적예방급림상항균약물응용적감관，촉진항균약물적합리응용。
Objective: To investigate and analyze the use of antibacterial drugs in psychiatric inpatients in our hospital so as to provide recommendations and references for the rational use of antibacterial agents . Methods: The medical records of 1 048 patients discharged from our hospital from Jan . to Jun . of 2009 were sampled randomly for retrospective review of their basic conditions and the application of antibacterial drugs . Results: Of the total 1 048 cases reviewed , 4 . 01% of the patients got infections of which 59 . 51% was respiratory system infection , and 13 . 16%of the patients used antibacterials with the use density of 3 . 57 DDD . Penicillins , cephalosporins and quinolones were used with higher frequency . The rate of etiological test was 35 . 51% and the rate of rational use of antibacterials was 61 . 59%. Conclusion:The unreasonable clinical application of antibacterials still exsited in our hospital . It is necessary to further strengthen the prevention of hospital infections and the supervision of clinical application of antibacterials , and promote the rational use of antibacterials .