477例住院患者抗菌药物临床使用横断面调查分析.docVIP

477例住院患者抗菌药物临床使用横断面调查分析 　　作者简介：卿常春，男，主管药师，学士学位，研究方向：临床药学和医院感染管理。E??mail:605482435@. 　　卿常春??1，张春蕾??2，罗锡??1，黄春玲??3?? 　　(广西桂林市兴安县人民医院，1.药剂科，2.感控科，3.妇产科，兴安541300) 　　【摘要】目的综合分析某院住院患者抗菌药物横断面使用现状，为抗菌药物的合理应用和宏观管理提供科学依据。 　　方法采用横断面调查方法，对2013年12月11日0:00~24:00的住院患者进行抗菌药物使用调查。 　　结果477例住院患者中，抗菌药物使用率为56.39%，其中治疗、预防、治疗加预防用药分别为45.35%、39.03%、15.62%；抗菌药物单用、二联、三联及三联以上使用率为68.40%、27.14%、4.46%；在全院各科室中以外科系使用率最高为61.86%；全院治疗性用药病原菌学送检率（包括治疗加预防用药）为28.66%；预防使用抗菌药物主要集中在手术科室。抗菌药物使用频率以β?材邗０?/β?材邗０访敢种萍粮春现萍磷罡摺? 　　结论 该院住院患者的围手术期抗菌药物预防使用率较高，培养标本送检率较低，降低抗菌药物使用率的关键是规范围手术期抗菌药物合理用药的管理。 　　?? 　　?ぁ竟丶?词】横断面调查；抗菌药物；临床应用 　　?? 　　中图分类号：R978.1文献标识码：A文章编号：1003??1383(2014)03??0343??05?? 　　DOI:10.3969/j.issn.1003??1383.2014.03.024 　　?お? 　　Cross??sectional study of clinical use of antibiotics in 477 inpatients 　　QING Changchun??1,ZHANG Chunlei??2,LUO Xi??1,HUANG Chunling??3 　　?? 　　(1.Department of Pharmacy;2.Department of Hospital Infection Management；??3.Department of Gynecology and Obstetrics,Xingan Peoples Hospital,Xingan 541300,Guangxi,China) 　　【Abstract】ObjectiveTo give a comprehensive analysis of cross??sectional use of antibiotics in inpatients of one hospital,so as to provide scientific basis for reasonable application and macro??administration of antibiotics. 　　MethodsThe clinical use of antibiotics for all inpatients from 0 to 24 clock on December 11,2013 was investigated. 　　Results Of all 477 hospitalized patients,the usage rate of antibiotics was 56.39%,among which the rates of treatment,prevention,and treatment plus prevention were 45.35%,39.03% and 15.62% respectively.The usage rates of single drug,two drugs,three drugs and above were 68.40%, 27.14% and 4.46% respectively.The usage rate in surgery department was the highest (61.86%) and the delivery and inspection rate of etiological specimens for therapeutic medication (including treatment and prevention) in the whole hospital was 28.66%.Preventive medications was mainly used in the surgery department.On the list of DDDs,Beta lactam