CAJ | 학술논문

目的：调查专项整治前后本院抗菌药使用情况，提高本院抗菌药合理使用水平。方法随机抽取2010年8~12月和2012年8~12月本院住院病历540份，门诊处方2160份，玉类切口手术病历108份，对比分析抗菌药专项整治前后抗菌药物使用情况、不良反应发生情况等。结果实施抗菌药专项整治前后，处方抗菌药物使用率、不合理用药发生率、不良反应发生率、病原学送检率等指标均发生明显改变，差异有统计学意义(P<0.05)。结论实施抗菌药专项整治可对临床抗菌药不合理使用现象进行有效遏制，促进临床合理用药，改善临床疗效，值得关注并推广。
목적：조사전항정치전후본원항균약사용정황，제고본원항균약합리사용수평。방법수궤추취2010년8~12월화2012년8~12월본원주원병력540빈，문진처방2160빈，옥류절구수술병력108빈，대비분석항균약전항정치전후항균약물사용정황、불량반응발생정황등。결과실시항균약전항정치전후，처방항균약물사용솔、불합리용약발생솔、불량반응발생솔、병원학송검솔등지표균발생명현개변，차이유통계학의의(P<0.05)。결론실시항균약전항정치가대림상항균약불합리사용현상진행유효알제，촉진림상합리용약，개선림상료효，치득관주병추엄。
Objective To investigate the use of antibacterial drug before and after special rectification in our hospital,so as to improve the level of rational use of antibacterial drug in our hospital. Methods 540 hospitalization records,2160 outpatient prescriptions,and 108 surgical records of classⅠincision in our hospital from August to December 2010 and from August to December 2012 were randomly selected.Use of antibacterial drug and incidence of adverse reaction and so on before and after special rectification of antibacterial drug was compared and analyzed respectively. Results Be-fore and after special rectification of antibacterial drug,indexes such as application rate of antibacterial drug of pre-scription,incidence rate of irrational drug use,incidence rate of adverse reaction and etiological examination rate had significant change,and the was a statistical difference (P<0.05). Conclusion Implementation of special rectification of antibacterial drug is able to effectively curb the phenomenon of irrational application of clinical antibacterial drug,pro-mote clinical rational drug use,and improve clinical curative effect,which is worthy of attention and promotion.