中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2014年
21期
35-36
,共2页
儿科%住院%抗菌药物%调查分析
兒科%住院%抗菌藥物%調查分析
인과%주원%항균약물%조사분석
Pediatrics%Hospitalization%Antibacterial drugs%Investigation and analysis
目的：了解和掌握医院儿科住院患者抗菌药物使用情况，为临床合理用药及管理提供参考依据。方法回顾性分析随机抽取的395份2013年1~12月的我院儿科出院病历的资料，对抗菌药物名称、价格、剂量、使用频度、给药途径、联合用药、送检情况及用药合理性进行分析和评价。结果抗菌药物使用率为87.85%，其中治疗性用药298例，预防性用药49例；给药途径均为静脉给药，部分患儿结合口服或雾化吸入给药；抗菌药物品种以青霉素类、头孢菌素类、大环内酯类为主；联合用药者共62例，占17.87%，其中二联用药60例，三联用药2例；标本送检率为12.39%，其中检出阳性率为23.26%；用药合理或基本合理者共309例，占89.05%，不合理者共38例，占10.95%。结论儿科住院病例仍存在不合理用药情况，主要体现在使用剂量过大、联合用药不当、选用品种不合理、无指证用药等方面。
目的：瞭解和掌握醫院兒科住院患者抗菌藥物使用情況，為臨床閤理用藥及管理提供參攷依據。方法迴顧性分析隨機抽取的395份2013年1~12月的我院兒科齣院病歷的資料，對抗菌藥物名稱、價格、劑量、使用頻度、給藥途徑、聯閤用藥、送檢情況及用藥閤理性進行分析和評價。結果抗菌藥物使用率為87.85%，其中治療性用藥298例，預防性用藥49例；給藥途徑均為靜脈給藥，部分患兒結閤口服或霧化吸入給藥；抗菌藥物品種以青黴素類、頭孢菌素類、大環內酯類為主；聯閤用藥者共62例，佔17.87%，其中二聯用藥60例，三聯用藥2例；標本送檢率為12.39%，其中檢齣暘性率為23.26%；用藥閤理或基本閤理者共309例，佔89.05%，不閤理者共38例，佔10.95%。結論兒科住院病例仍存在不閤理用藥情況，主要體現在使用劑量過大、聯閤用藥不噹、選用品種不閤理、無指證用藥等方麵。
목적：료해화장악의원인과주원환자항균약물사용정황，위림상합리용약급관리제공삼고의거。방법회고성분석수궤추취적395빈2013년1~12월적아원인과출원병력적자료，대항균약물명칭、개격、제량、사용빈도、급약도경、연합용약、송검정황급용약합이성진행분석화평개。결과항균약물사용솔위87.85%，기중치료성용약298례，예방성용약49례；급약도경균위정맥급약，부분환인결합구복혹무화흡입급약；항균약물품충이청매소류、두포균소류、대배내지류위주；연합용약자공62례，점17.87%，기중이련용약60례，삼련용약2례；표본송검솔위12.39%，기중검출양성솔위23.26%；용약합리혹기본합리자공309례，점89.05%，불합리자공38례，점10.95%。결론인과주원병례잉존재불합리용약정황，주요체현재사용제량과대、연합용약불당、선용품충불합리、무지증용약등방면。
Objective To understand and master the hospital pediatric inpatients antimicrobial drug use, provides the reference for the clinical rational drug use and management. Methods A retrospective analysis of 395 2013 January to a random sample of De-cember my courtyard department of pediatrics hospital records data, the antibacterial drug name, price, frequency of use, dosage, route of administration, drug combination, and the rationality of medication were analyzed and evaluated. Results Antimicrobial drug use was 87.85%, 298 cases of drug treatment, preventive medication in 49 cases; the route of administration are intravenous administration, some children with oral or inhaled medication; antibacterial drugs to penicillins, cephalosporins, macrolides; com-bined medication were 62 cases, accounting for 17.87%, including 60 cases of two drug, 2 cases with triple therapy;sample deliv-ery rate was 12.39%, the positive rate was 23.26%; reasonable medication or reasonable were 309 cases, accounting for 89.05%, unreasonable were 38 cases, accounting for 10.95%. Conclusion Inpatient pediatric are still unreasonable drug use, mainly reflect-ed in the use of excessive dosage, improper combination of drugs, the species is not reasonable, non indication medication.
