CAJ | 학술논문

目的观察分析综合干预措施在医院内科抗生素合理应用中的重要作用。方法参照《抗生素临床应用指导原则》制定以抗生素的联用率和使用率为量化指标的评价标准，运用综合干预措施指导抗生素的合理使用，并观察分析运用综合干预措施前后临床工作中抗生素的使用情况。结果运用抗生素综合管理措施之前，多以经验用药为主且无合理指征应用抗生素的情况较为多见，临床应用中问题较为突出，运用综合管理措施之后，病原送检率明显升高，同时抗生素药物的使用率和联用率也显著降低。结论运用有效措施对抗生素使用进行综合干预，可以显著提高病原送检率降低抗生素的使用率和联合用药率，对内科人员合理使用抗生素具有积极意义。
목적관찰분석종합간예조시재의원내과항생소합리응용중적중요작용。방법삼조《항생소림상응용지도원칙》제정이항생소적련용솔화사용솔위양화지표적평개표준，운용종합간예조시지도항생소적합리사용，병관찰분석운용종합간예조시전후림상공작중항생소적사용정황。결과운용항생소종합관리조시지전，다이경험용약위주차무합리지정응용항생소적정황교위다견，림상응용중문제교위돌출，운용종합관리조시지후，병원송검솔명현승고，동시항생소약물적사용솔화련용솔야현저강저。결론운용유효조시대항생소사용진행종합간예，가이현저제고병원송검솔강저항생소적사용솔화연합용약솔，대내과인원합리사용항생소구유적겁의의。
Objective Observation and analysis of comprehensive intervention measures on hospital clinical rational use of antibiotics in the important role of. Methods According to the"guiding principles for clinical application of antibiotics"to develop antibiotic combined with utilization rate and for the quantitative indexes of evaluation standard, comprehensive intervention measures to guide the rational use of antibiotics, and use comprehensive intervention measures before and after the observation and analysis of antibiotic usage in clinical work. Results The use of antibiotics to comprehensive management measures before, much to experience medication and without reasonable indications for antibiotics in the more common clinical application, the issue is relatively outstanding, with comprehensive management measures, pathogen detection rate was significantly elevated, and antibiotic drug usage and hyphenated was also significantly reduced. Conclusion The use of effective measures for comprehensive intervention on antibiotic use, can significantly improve the pathogen detection rate was decreased antibiotic usage and combination rate of clinical staff, reasonable use of antibiotics is of positive significance.