摘要
目的:分析临床抗菌药物使用过程中存在的问题,了解其中的不合理因素,进一步指导临床合理用药。方法:对2005年1月至2006年12月的住院患者按内、外、妇、儿科随机抽样1000例,对病情及抗菌药物使用情况进行分析。结果:手术病例抗菌药物使用率58.1%,在手术病例中使用率100%;非感染性疾病抗菌药使用率为2.3%,适应症比率为47.8%;疗程最长者33天;联合用药率75.9%;手术病例使用前三位用药为喹诺酮类(31.5%)、三代头孢(18.1%)、一代头孢(9.8%);非手术病例使用前三位用药为三代头孢(20.7%)、大环内酯类(7.4%)、喹诺酮类(7.3%)。三代头孢及喹诺酮类抗菌药总使用率均为38.8%。结论:①手术病例抗菌药使用率高;②发热病人或无明确感染病例使用抗菌药;③抗菌药物使用疗程偏长;④部分抗菌药物用法不规范;⑤三代头孢及喹诺酮类抗菌药物使用率高;⑥抗菌药物联合用药率高。
Objective: To analyze the problems and improper factors in using antibiotics,Try to have a guidance on using antibiotics.Method: From Jan.2005 to Dec.2006,1000 cases were selected to analyze the condition of patients and the use of antiotics.Result: In all cases,the using rate of surgical cases was 58.1%,in all surgical cases,the using rate was 2.3%,the ratio of indications was 47.8%.The longest therapeutic time was 33 days;The rate of united using antiotics was 75.9%.In surgical cases,the using rates of three kinds of antiotics were on front : quinolones(31.5%).The third generation cephalosporins(18.1%);the first generation cephalosporins(9.8%);In non-surgical cases,the using rates of three kinds of antiolics were on front : the third generation cefhalosporins(20.7%),macrolides (7.4%),quinolones(7.3%).the rates of quinolones and the third generation cephalosporins all were 38.8%.Conclusion: ①The using rates of surgical cases were high.②Antiolics were used to the cases who had a fever or had infections diseases. ③The using time was a little long.④Parts of antiotics weren't used standard.⑤The using rate of quinolones and the third generation cephalosporins were high.⑥The united using rate of antiotics was high .
出处
《河北医学》
CAS
2007年第3期294-297,共4页
Hebei Medicine
关键词
抗菌药物
使
用
抽
样
调
查
Antiotics
Use
Sample
Investigation
