CAJ | 학술논문

目的：调查分析北京回龙观医院（以下简称“我院”）住院患者抗菌药物的应用情况，为加强抗菌药物应用管理和精神科临床合理应用抗菌药物提供参考。方法：采用回顾性方法调取我院2013年全年4114例出院患者病历，对抗菌药物的使用情况进行统计分析。结果：在4114例出院患者中，有446例患者使用了抗菌药物，感染率为10.84％，主要为呼吸系统感染（69.28％）；使用频度较高的抗菌药物为头孢菌素类与氟喹诺酮类；病原学送检率为55.37％；临床抗菌药物使用合理率为79.39％。结论：我院抗菌药物临床应用合理率较高，但仍存在不合理现象，应进一步加强医院感染的预防及临床抗菌药物应用的监管，促进抗菌药物的合理应用。
목적：조사분석북경회룡관의원（이하간칭“아원”）주원환자항균약물적응용정황，위가강항균약물응용관리화정신과림상합리응용항균약물제공삼고。방법：채용회고성방법조취아원2013년전년4114례출원환자병력，대항균약물적사용정황진행통계분석。결과：재4114례출원환자중，유446례환자사용료항균약물，감염솔위10.84％，주요위호흡계통감염（69.28％）；사용빈도교고적항균약물위두포균소류여불규낙동류；병원학송검솔위55.37％；림상항균약물사용합리솔위79.39％。결론：아원항균약물림상응용합리솔교고，단잉존재불합리현상，응진일보가강의원감염적예방급림상항균약물응용적감관，촉진항균약물적합리응용。
OBJECTIVE:To investigate and analyze the application of antibiotics in Beijing Huilongguan Hoapital ( hereinafter referred to as “our hospital”) , so as to strengthen the management of application of antibiotics and provide reference for the rational use of antibiotics .METHODS: Retrospective review was adopted to retrieve the medical records of 4114 patients discharged from our hospital in 2013, the application situation of antibiotics was statistically analyzed .RESULTS: Of the total 4114 cases, 446 patients used antibiotics , the infection rate was 10.84%, respiratory system infection was the main part ( 69.28%) .Cephalosporins and 4-quinolones were used with a high frequency , the rate of etiological test was 55.37%and the rate of clinical rational application of antibiotics was 79.39%.CONCLUSIONS:The rationality of clinical application of antibiotics in our hospital is relatively high , but there are still some irrational phenomenon in the clinical application of antibiotics in our hospital .It is necessary to further strengthen the prevention of hospital infections and the supervision of clinical application of antibiotics , and promote the rational application of antibiotics .