天津市中心妇产科医院2013年住院患者抗菌药物使用情况分析.pdfVIP

·1420 · 现代药物与临床 Drugs Clinic 第 29 卷 第 12 期 2014 年 12 月 天津市中心妇产科医院 2013 年住院患者抗菌药物使用情况分析 汪 涛，邢 丽* 天津市中心妇产科医院 药剂科，天津 300100 摘 要：目的 调查天津市中心妇产科医院 2013 年住院患者抗菌药物的使用情况，并分析评估其使用合理性。方法 采用 回顾性调查方法对随机选取的 360 份病历中抗菌药物的使用情况进行汇总，分别从抗菌药物使用品种、费用、科室分布、联 合用药等方面进行统计分析。结果 360 例病历中 155 份使用了抗菌药物，抗菌药物的使用率为 43.06% ，其中产科使用例 数为 67 例，使用率（77.91% ）最高，联合用药比例为 18.07%，62 份病历为不合理用药，占 17.22%。结论 天津市中心妇 产科医院抗菌药物使用基本合理，但少数病历存在用药不合理现象。抗菌药物的管理需要多部门共同参与，医师应严格用药 指征，临床药师应加强培训，医院加强监督管理。 关键词：抗菌药物；预防用药；合理用药；回顾性调查 中图分类号：R984 文献标志码：A 文章编号：1674 - 5515(2014)12 - 1420 - 05 DOI: 10.7501/j.issn.1674-5515.2014.12.022 Analysis on utilization of antimicrobials of in-patients in Tianjin Central Hospital of Gynecology Obstetrics in 2013 WANG Tao, XING Li Department of Pharmacy, Tianjin Central Hospital of Gynecology Obstetrics, Tianjin 300100, China Abstract: Objective To investigate the utilization of antimicrobials of in-patients in Tianjin Central Hospital of Gynecology Obstetrics in 2013, and evaluate its rationality. Methods The utilization of antimicrobials to in-patients (360 cases) was summarized retrospectively, and the varieties, costs, department distribution, and drug combination were analyzed statistically. Results In 360 cases of in-patients, 155 cases used antimicrobials. The utilization ratio of antimicrobials was 43.06%. There were 67 cases using antimicrobials in obstetrics. The utilization ratio of antimicrobials was the highest (77.91%). The utilization ratio of patients who used combined drugs was 18.07%. Sixty-two cases were unreasonable (17.22%). Conclusion The utilization of antimicrobials is basically reasonable in Tianjin Central Hospital of Gynecology Obstetrics, but there are still some unreasonable use of antimicrobials. Multi-departments need to participate in the management of antimicrobials together.