某院抗生素使用现状分析.pdfVIP

某院抗生素使用现状分析 马经明1 ,覃正碧2 # ( 1 湖北省恩施州中心医院 ,恩施市 　445000 ;2 华中科技大学同济医学院公共卫生学院 , 武汉市 　430003) ( ) 中图分类号 　R9781 　　　文献标识码 　B 　　　文章编号 　1672 - 2124 2008 09 - 0657 - 03 摘 　要 　目的:减轻患者负担 ,提高临床合理使用抗生素水平 。方法 :对某院 2007 年度抗生素使用情况 、抗生素消耗总额及所 占 比例 、临床科室使用抗生素情况比较及临床医生用药现状进行分析 。结果 :某院抗生素消耗 占药品总收入的 25 % , 30～40 元 支段消耗比例太高 ,临床科室符合院部抗生素的使用规定比例偏低 ,医生使用中高档抗生素倾向明显 。结论 :临床医生不合理使 用抗生素的情况较为严重 ,导致了耐药菌株和药品不良反应的发生 , 同时增加了患者经济负担 。今后医院要坚持因病施治 ,科学 合理使用抗生素 ;要注重职业道德修养 ,加大药品购销领域反商业贿赂管理 ,缓解民众“看病贵”问题 。 关键词 　抗生素 ; 使用现状 ; 合理用药 Status Quo of the Use of Antibiotics in One Hospital MA Jingming1 , QIN Zhengbi2 ( 1. The Central Hospital of Hubei Enshi Autonomous Prefecture , Enshi 445000 , China ; 2 . School of Public Health , Tongj i Medical College of Huazhong University of Science and Technology , Wuhan 430003 , China) ABSTRACT 　OBJ ECTIVE : To alleviate patients’burden and promote rational clinical use of antibiotics. METHODS : The use of antibiotics in 2007 in one hospital was analyzed in respect of the consumption sum and proportion , its consumption in clinical departments , and clinicians ’medication tendency . RESULTS : The consumption of antibiotics in this hospital accounted for 25 % of total medicines , and the proportion of the antibiotics ranged above 30～40 yuan was too high , while in clinical departments the rate of antibiotics used in accordance with hospital guideline on antibiotics were on the lower side , and the clinicians had a preference to prescribe middle or high - class antibiotics. CONCLUSION : The irrational use of antibiotics is common , which resulted in the occurrence of drug resistant strains and adverse drug reactions and increased economic burden for patients. It is urgent to treat patients in accordance with their symptoms and use antibiotics in a rational and scientific way . Meanwhile , education of clinici