综合性医院抗菌药物应用调查分析与管理对策.pdfVIP

1·52 · Chin J Nosocomiol Vol. 13 No. 2 2003 ·论 　著· 综合性医院抗菌药物应用调查分析与管理对策 朱会英 , 曹洪涛 , 韩丽萍 , 孙立贵 , 邹小宁 (广州军区广州总医院 , 广东 广州 510010) 摘要 : 目的 　了解我院抗菌药物的应用状况 ,指导临床合理使用抗菌药物。方法 　对 2001 年 9 月份出院病历 1 517份的抗菌药物的使用情况编制调查表 ,进行统计分析。结果 　我院抗菌药物总应用率为 71. 38 % ,预防性用 药占 66. 14 % ,联合用药率为 50. 46 % , 以经验用药为主,抗菌药物应用频率最高的种类是头孢菌素类 ,其次为青 霉素类和喹诺酮类 ,抗菌药物费用占总药费 24. 43 % ,新型、昂贵抗菌药物所占费用大 ,主要存在问题有外科系统 预防性使用抗菌药物过宽 , 围手术期预防用药不规范 ,经验用药和选用高档抗菌药物较多 ,病原学送检率低。 结论 　我院抗菌药物应用率处于国内中位水平 ,不合理应用仍占相当比例 ,加强抗菌药物合理应用与规范化管 理 ,提高医务人员合理用药整体水平是医院感染管理工作的重要内容之一。 关键词 : 抗菌药物 ; 调查分析 ; 对策 中图分类号: R978. 1 　　文献标识码 : A 　　文章编号 : (2003) Application of Antibiotics in General Hospital : A Survey Analysis and Administrative Countermeasures ZHU Huiying , CAO Hongtao , HAN Liping , SUN Ligui , ZHOU Xiaoning ( ) Guangz hou General Hospital , Guanz hou M ilitary Region , Guangz hou 510000 , China Abstract : OBJECTIVE To investigate the usage of antibiotics in our hospital for improving the management and proper clinical utilization. METHODS A total of 1 517 patients discharged from our hospital in Sept 2001 were surveyed , and a statistical analysis was conducted. RESULTS The rate of antibiotics usage was 71. 38 % , and the rate of preventive us age was 50. 46 %. Most antibiotics were used according to experience. Cephalosporins were the first , penicilins were the next and then quinolones in the antibiotics usage. And the cost of antibiotics was 24. 43 % in total drug expenses of the hospital. New kinds and expensive antibiotics were mainly the drugs in high expenditure. The major problems a