摘要
目的了解青海省东部地区不同规模医疗机构住院患者抗菌药物使用情况。方法采用横断面调查方法,调查青海省东部地区不同规模的9所医院的住院患者抗菌药物日使用情况。结果 9所医疗机构的7196例住院患者的抗菌药物使用率为22.2%,其中17.66%为治疗用药,3.74%为预防用药,0.81%为治疗加预防用药;一联用药占20.02%,二联用药2.06%,三联及以上用药率为0.13%;Ⅰ类切口手术抗菌药物使用率为32.89%,其中预防用药率为20.59%。病原学送检率为58.43%,治疗用药的患者中用药前送检率为81.18%。使用抗菌药物种类第三代头孢菌素最多,其中85.45%为治疗用药。结论青海省东部地区医疗机构抗菌药物使用较合理,病原学送检率较高。但头孢菌素的使用率较高,须加强管理。
Objective To investigate the daily antimicrobial use in patients in hospitals of different sizes in the east area of Qinghai province. Methods Cross-sectional survey was used to investigate antimicrobial use in nine hospitals. Results A total of 7,196 inpatients were investigated, the usage rate of antimicrobial agents was 22.2%, 17.66% of which were for therapeutic purpose, 3.74% for prophylactic use, and 0.81% for both therapeutic and prophylactic application;20.02% of patients received one agent, 2.06% received two, and 0.13% received three and more agents. The antimicrobial usage of Ⅰincision surgery was 32.89%, of which 20.59% was for prophylactic use. Among patients who received antimicrobials for therapy, 58.43% sent specimens for pathogenic detection. Among the patients with therapeutic drugs, the rate of pre-medication test was 81.18%. The third generation cephalosporins were the most used, among which 85.45% were therapeutic drugs. Conclusion Inpatients in nine hospitals had rational rate of daily antimicrobial use. Pathogen detection rate was high. It is necessary to strengthen the management of rational use of the third generation cephalosporin.
作者
王顺彩
刘旭昕
王凯
绽丽
郭峥
候珂君
沈霞
马志娟
薛长梅
侯素芳
董玉霞
Wang Shun-cai;Liu Xu-xin;Wang Kai;Zhan Li;Guo Zheng;Hou Ke-jun;Shen Xia;Ma Zhi-juan;Xue Changmei;Hou Su-fang;Dong Yu-xia(Qinghai Provincial People's Hospital,Xi'ning 810007; Affiliated Hospital of Qinghai University,Xi'ning 810007; Qinghai Red Cross Hospital,Xi'ning 810007; The Fifth People's Hospital of Qinghai Province,Xi'ning 810007; Xi'ning Second People's Hospital,Xi'ning 810007; Huzhu County People's Hospital; Huangzhong County Second People's Hospital,Xi'ning 810007; Haidong People's Hospital,Xi'ning 810007; The Third People's Hospital of Qinghai Province,Xi'ning 810007)
出处
《中国抗生素杂志》
CAS
CSCD
2020年第8期814-818,共5页
Chinese Journal of Antibiotics
关键词
青海省东部地区
住院患者
抗菌药物
日使用率
横断面调查
The east area of Qinghai province
Inpatient
Antibacterials
Daily antimicrobial usage
Cross-sectional survey
