CAJ | 학술논문

目的了解我院抗生素的使用现状,提高抗生素的合理应用.方法采用随机抽样的调查方式,抽取我院2010年7月至2012年6月的病历3000份,其中使用抗生素的病历1050份,统计抗生素使用率、抗生素类别、抗生素联用等情况.结果我院抗生素使用率为35.0%,抗生素单用病历占77.2%,外科和内科抗生素使用率较其他科室有明显差异(P <0.05),抗生素应用不合理主要表现为用药剂量不合理和无适应证用药,抗生素主要类别为头孢菌素类、青霉素类、大环内酯类、氨基糖苷类和喹诺酮类,使用频率最高的抗生素依次为头孢曲松158份(15.0%)、青霉素133份(12.7%)、阿奇霉素121份(11.5%)、左氧氟沙星107份(10.2%)、克林霉素79份(7.5%)、头孢克肟68份(6.5%).结论我院抗生素临床应用较为合理,但尚存在抗生素应用不合理现象,需加强对抗菌药物合理应用进行监管.
목적료해아원항생소적사용현상,제고항생소적합리응용.방법채용수궤추양적조사방식,추취아원2010년7월지2012년6월적병력3000빈,기중사용항생소적병력1050빈,통계항생소사용솔、항생소유별、항생소련용등정황.결과아원항생소사용솔위35.0%,항생소단용병력점77.2%,외과화내과항생소사용솔교기타과실유명현차이(P <0.05),항생소응용불합리주요표현위용약제량불합리화무괄응증용약,항생소주요유별위두포균소류、청매소류、대배내지류、안기당감류화규낙동류,사용빈솔최고적항생소의차위두포곡송158빈(15.0%)、청매소133빈(12.7%)、아기매소121빈(11.5%)、좌양불사성107빈(10.2%)、극림매소79빈(7.5%)、두포극우68빈(6.5%).결론아원항생소림상응용교위합리,단상존재항생소응용불합리현상,수가강대항균약물합리응용진행감관.
Objective To understand the status of antibiotic use in our hospital, to improve the rational use of antibiotics. Method With the random sample survey method, extraction from July to 2012 June in our hospital in 2010 3000 medical records of the use of antibiotics, including 1050 medical records, statistical use of antibiotics, type of antibiotics, antibiotic associated with such conditions. Results Our hospital antibiotic usage was 35%, antibiotics alone records 77.2%, surgery and Department of internal medicine antibiotic utilization than other departments have significant difference (P<0.05 ), the unreasonable use of antibiotics is mainly used dosage is unreasonable and no indications for antibiotic medication, main categories for penicillins, cephalosporins, macrolide, aminoglycoside and quinolones, the highest frequency of use of antibiotics in order to ceftriaxone in 158(15%), 133(12.7%) penicillin, Archie DX 121 (11.5%), 107 (10.2%) of levofloxacin, clindamycin 79 (7.5% ), cefixime 68 conclusions: (6.5%). Conclusion Clinical application of antibiotics in our hospital is reasonable, but it still has the unreasonable use of antibiotics phenomenon, it is necessary to enhance the supervision of reasonable application of antibacterial drug .