CAJ | 학술논문

目的：调查医院特殊使用级抗菌药物使用管理情况，促进临床合理用药。方法抽取重症监护病房2013年度出院病历280份，对其中使用特殊使用级抗菌药物的病例进行用药分析。结果280份出院病历中，152份使用了特殊使用级抗菌药物，使用率为54.29%；146份进行了病原菌送检，送检率为96.05%。使用基本符合国家规定，但联合用药情况比较复杂。结论该院对特殊使用级抗菌药物使用和管理基本有成效，但合理用药率较低，存在不按规定用药的情况，应加强教育管理，以提高医院合理用药的水平。
목적：조사의원특수사용급항균약물사용관리정황，촉진림상합리용약。방법추취중증감호병방2013년도출원병력280빈，대기중사용특수사용급항균약물적병례진행용약분석。결과280빈출원병력중，152빈사용료특수사용급항균약물，사용솔위54.29%；146빈진행료병원균송검，송검솔위96.05%。사용기본부합국가규정，단연합용약정황비교복잡。결론해원대특수사용급항균약물사용화관리기본유성효，단합리용약솔교저，존재불안규정용약적정황，응가강교육관리，이제고의원합리용약적수평。
Objective To understand the hospital management of antibiotics usage of special level used antimicrobial agents; to promote clinical rational drug use. Methods 280 hospital records of intensive care unit (ICU) in 2013 was extracted, and the drug use of spe-cial level used antimicrobial agents was analyzed. Results Among the 280 hospital records, special level used antimicrobial agents were used in 152 records, and the utilization rate was 54. 29% ; pathogenic bacteria wereinspected in 146 records, and the inspection rate was 96. 05% . The use of special level used antimicrobial agents in our hospital conformed to the provisions of government, but drug combi-nationwas complex. Conclusion Drug use and managementof special level used antimicrobial agents in the hospital was basically pro-ductive, but the rate of rational drug usewas low, anddrug uses not according to the rules were existing. The education and man-agementshould be strengthened to improve the level of rational drug use in the hospital.