中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
11期
654-658
,共5页
唐强%尹辉明%吴卫华%李芬%谢若青%郭燕华%李燕华%凌建新%刘建锋
唐彊%尹輝明%吳衛華%李芬%謝若青%郭燕華%李燕華%凌建新%劉建鋒
당강%윤휘명%오위화%리분%사약청%곽연화%리연화%릉건신%류건봉
乡镇卫生院%手术类型%抗菌药物%合理用药%门诊处方
鄉鎮衛生院%手術類型%抗菌藥物%閤理用藥%門診處方
향진위생원%수술류형%항균약물%합리용약%문진처방
township hospital%operation type%antimicrobial agent%rational drug use%outpatient prescription
目的:调查某市中心乡镇卫生院抗菌药物的使用现状,以促进抗菌药物合理使用。方法随机抽取湖南省某地级市11个县市33所中心乡镇卫生院,对其门诊处方7920张,非手术患者病历资料465份,手术患者病历资料213份进行调查分析。结果33所中心乡镇卫生院门诊、住院患者抗菌药物使用率分别为56.60%、89.68%,联合用药率分别为24.16%、43.58%。住院患者抗菌药物使用强度为147.25 DDDs。手术患者抗菌药物使用率为97.18%,联合用药率为59.90%,其中单一、二联、三联及以上用药分别占40.10%、47.82%、12.08%。Ⅰ、Ⅱ、Ⅲ类切口手术患者抗菌药物使用率分别为97.56%(40/41)、96.93%(158/163)、100.00%(9/9),联合用药率分别为30.00%、67.72%、44.44%。结论该地级市33所中心乡镇卫生院存在普遍过度使用抗菌药物的现象,其抗菌药物使用率、联合用药率、住院患者抗菌药物使用强度及Ⅰ类切口抗菌药物预防使用率均较高。
目的:調查某市中心鄉鎮衛生院抗菌藥物的使用現狀,以促進抗菌藥物閤理使用。方法隨機抽取湖南省某地級市11箇縣市33所中心鄉鎮衛生院,對其門診處方7920張,非手術患者病歷資料465份,手術患者病歷資料213份進行調查分析。結果33所中心鄉鎮衛生院門診、住院患者抗菌藥物使用率分彆為56.60%、89.68%,聯閤用藥率分彆為24.16%、43.58%。住院患者抗菌藥物使用彊度為147.25 DDDs。手術患者抗菌藥物使用率為97.18%,聯閤用藥率為59.90%,其中單一、二聯、三聯及以上用藥分彆佔40.10%、47.82%、12.08%。Ⅰ、Ⅱ、Ⅲ類切口手術患者抗菌藥物使用率分彆為97.56%(40/41)、96.93%(158/163)、100.00%(9/9),聯閤用藥率分彆為30.00%、67.72%、44.44%。結論該地級市33所中心鄉鎮衛生院存在普遍過度使用抗菌藥物的現象,其抗菌藥物使用率、聯閤用藥率、住院患者抗菌藥物使用彊度及Ⅰ類切口抗菌藥物預防使用率均較高。
목적:조사모시중심향진위생원항균약물적사용현상,이촉진항균약물합리사용。방법수궤추취호남성모지급시11개현시33소중심향진위생원,대기문진처방7920장,비수술환자병력자료465빈,수술환자병력자료213빈진행조사분석。결과33소중심향진위생원문진、주원환자항균약물사용솔분별위56.60%、89.68%,연합용약솔분별위24.16%、43.58%。주원환자항균약물사용강도위147.25 DDDs。수술환자항균약물사용솔위97.18%,연합용약솔위59.90%,기중단일、이련、삼련급이상용약분별점40.10%、47.82%、12.08%。Ⅰ、Ⅱ、Ⅲ류절구수술환자항균약물사용솔분별위97.56%(40/41)、96.93%(158/163)、100.00%(9/9),연합용약솔분별위30.00%、67.72%、44.44%。결론해지급시33소중심향진위생원존재보편과도사용항균약물적현상,기항균약물사용솔、연합용약솔、주원환자항균약물사용강도급Ⅰ류절구항균약물예방사용솔균교고。
Objective To investigate antimicrobial use in 33 township central hospitals,and improve the rational use of antimicrobial agents. Methods Thirty-three township central hospitals in 1 1 counties were randomly select-ed,7 920 outpatient prescriptions,medical records of 465 non-surgery patients and 213 surgery patients were inves-tigated and analyzed. Results Of 33 hospitals,antimicrobial usage rate in outpatients and inpatients was 56.60%and 89.68% respectively,combined antimicrobial usage rate was 24.16% and 43.58% respectively. Antimicrobial use density in inpatients was 147.25DDDs. Antimicrobial usage rate in surgery patients was 97.18% ,combined an-timicrobial usage rate was 59.90% ,the percentage of one drug,two-drug combination and three-drug combination was 40.10% ,47.82% ,and 12.08% respectively. The percentage of antimicrobial use in patients of type Ⅰ,Ⅱ, and Ⅲincision was 97.56% (40/41),96.93% (158/163)and 100.00% (9/9)respectively,combined antimicrobial us-age rate was 30.00% ,67.72% ,and 44.44% respectively.Conclusion The overuse of antimicrobial agents exists in 33 township central hospitals,antimicrobial usage rate,combined usage rate,antimicrobial use density and antimi-crobial prophylaxis in typeⅠincision operations are all high.