CAJ | 학술논문

目的：全面了解我院儿科住院患者抗菌药物应用情况，促进我院抗菌药物的合理使用。方法：通过医院HIS系统，对我院2013年7月至2014年6月儿科2362份住院病历进行分析。结果：2362份住院病历中，应用抗菌药物的病历有2176份，其中合理使用抗菌药物的有1963份，不合理应用抗菌药物的有213份。不合理应用的病例有：越级应用抗菌药物的有83份(39%)，无指征应用抗菌药物的有45份(21%)，无指征更换抗菌药物的有57份(27%)，无指征联合应用抗菌药物的有28份(13%)。结论：我院儿科总体用药较为合理，但尚存在一些不合理应用抗菌药物的现象，需进一步加强抗菌药物合理应用的管理，提高抗菌药物合理应用水平。
목적：전면료해아원인과주원환자항균약물응용정황，촉진아원항균약물적합리사용。방법：통과의원HIS계통，대아원2013년7월지2014년6월인과2362빈주원병력진행분석。결과：2362빈주원병력중，응용항균약물적병력유2176빈，기중합리사용항균약물적유1963빈，불합리응용항균약물적유213빈。불합리응용적병례유：월급응용항균약물적유83빈(39%)，무지정응용항균약물적유45빈(21%)，무지정경환항균약물적유57빈(27%)，무지정연합응용항균약물적유28빈(13%)。결론：아원인과총체용약교위합리，단상존재일사불합리응용항균약물적현상，수진일보가강항균약물합리응용적관리，제고항균약물합리응용수평。
Objective: To analyze the application status of antimicrobial agents in pediatric ward patients of our hospital so as to promote the rational use of antimicrobial agents. Methods:An investigation was conducted to evaluate the reasonable use of antimicrobial agents in 2362 cases from July 2013 to June 2014 through the system of hospital HIS. Results:Among the 2362 cases, 2176 cases recorded the application of antimicrobial agents, including 1963 cases of rational use of antimicrobial agents and 213 cases of unreasonable use of antibacterial drugs. Unreasonable application cases were: 83 (39%) cases used stronger antimicrobial agents, 45 (21%) cases used antimicrobial agents with no indications, 57 (27%) cases changed to antimicrobial agents with no indications, 28 (13%) cases combined with the use of antimicrobial agents with no indications. Conclusion: Most of the pediatric medications used in our hospital are reasonable, however, there are still some problems. Therefore, the management for the application of antimicrobial agents should be further strengthened to ensure the rational use of antimicrobial drugs.