现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
23期
3563-3565
,共3页
医院,综合%住院病人%抗菌药/治疗应用%数据收集%基层医院
醫院,綜閤%住院病人%抗菌藥/治療應用%數據收集%基層醫院
의원,종합%주원병인%항균약/치료응용%수거수집%기층의원
Hospitals,general%Inpatients%Anti-bacterial Agents/therapeutic use%Data collection%In basic hospital
目的:分析综合性基层医院抗菌药物应用的临床特点,为制定管理干预措施提供科学依据。方法采用回顾性调查方法将2007~2011年淮安市第一人民医院一分院住院患者抗菌药物应用监测资料进行汇总和统计分析。结果5年间抗菌药物使用率为75.90%(14985/19743),治疗用病原学送检率为25.93%(1746/6733);其中内科抗菌药物使用率为62.04%(6899/11121),治疗用病原学送检率为24.77%(1336/5393);外科系统抗菌药物使用率为93.78%(8086/8622),治疗用病原学送检率为30.6%(410/1340)。使用抗菌药物患者中,使用单联抗菌药物7452例(49.73%),使用二联抗菌药物6677例(44.56%),使用三联抗菌药物948例(6.33%)。结论基层医院的抗菌药物管理仍然是我国抗菌药物管理的薄弱环节,需要采取综合措施,加强管理力度,促进基层医院抗菌药物的合理应用。
目的:分析綜閤性基層醫院抗菌藥物應用的臨床特點,為製定管理榦預措施提供科學依據。方法採用迴顧性調查方法將2007~2011年淮安市第一人民醫院一分院住院患者抗菌藥物應用鑑測資料進行彙總和統計分析。結果5年間抗菌藥物使用率為75.90%(14985/19743),治療用病原學送檢率為25.93%(1746/6733);其中內科抗菌藥物使用率為62.04%(6899/11121),治療用病原學送檢率為24.77%(1336/5393);外科繫統抗菌藥物使用率為93.78%(8086/8622),治療用病原學送檢率為30.6%(410/1340)。使用抗菌藥物患者中,使用單聯抗菌藥物7452例(49.73%),使用二聯抗菌藥物6677例(44.56%),使用三聯抗菌藥物948例(6.33%)。結論基層醫院的抗菌藥物管理仍然是我國抗菌藥物管理的薄弱環節,需要採取綜閤措施,加彊管理力度,促進基層醫院抗菌藥物的閤理應用。
목적:분석종합성기층의원항균약물응용적림상특점,위제정관리간예조시제공과학의거。방법채용회고성조사방법장2007~2011년회안시제일인민의원일분원주원환자항균약물응용감측자료진행회총화통계분석。결과5년간항균약물사용솔위75.90%(14985/19743),치료용병원학송검솔위25.93%(1746/6733);기중내과항균약물사용솔위62.04%(6899/11121),치료용병원학송검솔위24.77%(1336/5393);외과계통항균약물사용솔위93.78%(8086/8622),치료용병원학송검솔위30.6%(410/1340)。사용항균약물환자중,사용단련항균약물7452례(49.73%),사용이련항균약물6677례(44.56%),사용삼련항균약물948례(6.33%)。결론기층의원적항균약물관리잉연시아국항균약물관리적박약배절,수요채취종합조시,가강관리력도,촉진기층의원항균약물적합리응용。
Objective To investigate the appilication of antimicrobial drugs in general grass-root hospitals to provide scientific basis in clinic for formulating and managing interventions. Methods The retrospective investigation method was adopted to summarize and analyze the monitoring data of antimicrobial drugs use from 2007 to 2011. Results The utilization rate of antimicrobial agents during the 5 years was 75.9%(14 985/19 743) with the etiological detection rate for treatment 25.93%(1 746/6 733),of which,the utilization rate of antimicrobial agents during internal medicine departments was 62.04%(6 899/11 121) with the etiological detection rate for treatment of 24.77%(1 336/5 393);the utilization rate of antimicrobial agents in surgery systems was 93.78%(8 086/8 622),with the etiological inspection rate for treatment 30.6%(410/1 340). Among the patients, 7 452(49.73%) were given signle antimicrobial drugs,6 677(44.56%) in double and 948(6.33%) in triple. Conclusion The antimicrobial drugs management of grass-root hospitals is poor in our country,which is expected to carry out comprehensive mea-sures,enhance the management strengen and improve the rational use of antimicrobial drugs in general grass-root hospitals.