CAJ | 학술논문

目的：分析医院重症监护病房（ ICU）感染患者常见病原菌分布情况及抗菌药物应用情况。方法收集2013－01－07的ICU感染患者的住院病历，分析病原菌的分布及抗菌药物应用状况。结果 ICU感染患者的生物标本中以革兰阴性菌为主；应用的抗菌药物中，药物利用指数（ DUI ）大于1的有头孢哌酮钠／舒巴坦钠等7种；DUI小于1的有哌拉西林钠／他唑巴坦钠等3种。结论 ICU感染患者抗菌药物应用中存在不合理应用现象。
목적：분석의원중증감호병방（ ICU）감염환자상견병원균분포정황급항균약물응용정황。방법수집2013－01－07적ICU감염환자적주원병력，분석병원균적분포급항균약물응용상황。결과 ICU감염환자적생물표본중이혁란음성균위주；응용적항균약물중，약물이용지수（ DUI ）대우1적유두포고동납／서파탄납등7충；DUI소우1적유고랍서림납／타서파탄납등3충。결론 ICU감염환자항균약물응용중존재불합리응용현상。
Objective To analyse the common pathogenic bacteria′s dis-tribution and antimicrobial treatment on infectious patients in intensive care unit(ICU) of the hospital and provide effective basis for promoting antibacterials′reasonable application in ICU.Methods We collect all the infectious patients′record from Jan 2013 to Jul 2013 in ICU of the hospital.Then, we analyse the distribution of pathogenic bacteria and antibacterials′application condition.Results The most common en-countered pathogens were Gram -negative bacteria in ICU.The patients used antibacterials in ICU , 7 kinds of antibacterials′drug utilization in-dex( DUI) were more than 1, such as sulperazon.On the opposite , 3 kinds of antibacterials′DUI were less than 1, such as tazocin.Conclu-sion The main problems in ICU antibacterials′application were some unreasonable application phenomenons , those all prompt us that we need to strengthen the management of antibacterials′reasonable application in ICU.