非手术科室抗菌药物使用分析.pdfVIP

Chin J Nosocomiol Vo1．1 8 No．4 2008 · 论 著 · 非手术科室抗菌药物使用分析 吴 芳，杨传辉，仲 华，刘 鹰 (武警总医院药剂科，北京 100039) 摘要：目的 了解与分析非手术科室抗菌药物使用情况及合理性，加强质量控制的监督和检查。方法 对2007 年 I一3月非手术科室出院的548例患者进行回顾性调查分析，对抗菌药物使用合理性进行评价 结果 548例 非手术科室出院患者中，使用抗菌药物229例，占41．79 ，其中预防感染46例，占2O．O9 ；治疗感染183例，占 79．91 ；联合用药95例，占41．48 ；使用频次最多的抗菌药物依次为青霉素类、头孢菌素类、喹诺酮类。结论 用药较为合理，能以安全、有效、经济为目的，合理应用抗菌药物。 关键词：抗菌药物；非手术科室；调查分析 中图分类号：R378．1 文献标识码：A 文章编号：1005—4529(2008)04—0574—02 Use of Antimicrobials in Non—surgical Departments WU Fang，YANG Chuan-hui，ZH0NG Hua，LIU Ying (General Hospital of Chinese People S Armed Police Forces，Beijing 100039，China) Abstract：OBJECTIVE To investigate and analyze the application of antibiotics in non—surgical departments in our hospita1．METHODS To make a survey of the use of antimicrobials in non—surgical departments from a total of 548 randomly selected medical records during Jan—Mar 2007，the data of reasonable use of antibacterials were obtained after evaluation and analysis．RESULTS Of the 548 patients in our study，229(41．79 )used antimicrobials．The use of antimicrobials for infection prevention was in 46 cases(20．09 oA)，for infection treatment was in 183 cases (79．91 )．From them 95 cases(41．48 )used a combination of two and more antimicrobials．The most widely used antibacterials were penicillins，cephalosporins，and quinolones．C0NCLUS10NS The use of antimicrobials is generally reasonable，and meets the safe，effective，and economical goal in our hospita1． Key words：Antimicrobial；Non—surgical departments；Survey and analysis 随着新抗菌药物的不断问世和广泛使用，滥用 1．2 方法 统一建立抗菌药物使用登记表，内容包 抗菌药物的情况也不断增加，导致了耐药菌株增加、 括患者姓名、性别、年龄、住院号、诊断、是否使用抗 抗菌药物疗效降低和医院感染增加等一系列不良后 菌药物、抗菌药物使用目的、给药途径、疗程、联合用 果。因此，加强抗