中国药物警戒 ›› 2010, Vol. 7 ›› Issue (6): 366-369.

• 药品不良反应监测 • 上一篇    下一篇

住院患者抗菌药物临床使用情况监测调查分析

崔挺, 李艳丽, 冯端浩   

  1. 中国人民解放军第309医院药剂科,北京 100091
  • 收稿日期:2016-02-22 修回日期:2016-02-22 出版日期:2010-06-08 发布日期:2016-02-22
  • 作者简介:崔挺,男,药师,临床药学。

Analysis of Antibiotics Clinical Usage Monitoring Survey in Primary Hospital

CUI Ting, LI Yan-li, FENG Duan-hao   

  1. Department of pharmacy, The 309 th hospital of PLA, Beijing 100091,China
  • Received:2016-02-22 Revised:2016-02-22 Online:2010-06-08 Published:2016-02-22

摘要: 目的 了解2010年第一季度我院住院患者抗菌药物临床使用情况,为临床合理用药提供参考。方法 调查监测当日在院全部患者的抗菌药物使用率;按25%比例随机抽取各科室住院患者的医嘱信息及电子病历,对抗菌药物使用的各项数据进行综合分析;针对抽样科室监测结果分析住院患者抗菌药物的使用情况。结果 我院抗菌药物总使用率为60.88%;抗菌药物使用以单一用药为主,占47.57%;联合用药主要集中在二联,占32.04%;全院进行病原菌检查及药敏试验比率较低,仅为27.18%。抽样科室使用的抗菌药物以β-内酰胺类为主,其中头孢菌素使用频次最高;限制使用品种使用过多,使用频次过高,以移植科使用抗菌药物所占比率最高,为19.50%;病原菌检查及药敏试验率低。结论 我院抗菌药物总体使用率偏高,存在不合理使用现象,须加强抗菌药物的使用管理与监测。

关键词: 住院患者, 抗菌药物, 不合理使用, 调查分析

Abstract: Objective In the first quarter of 2010 hospitalized patients in clinical use of antimicrobial agents, to provide a basis for further developing intervention to promote the rational use of drugs. Methods Investigation and monitoring all that day in patients with antibiotics usage; by about 25 percent of randomly selected offices of physician information and electronic patient records, from various angles to antimicrobial drugs used by performing a comprehensive analysis of the data; for part of the date of sampling department monitoring all hospitalized patients, the survey on the use of antibiotics. Results In my hospital antibiotic overall usage is 60.88%; antibacterial drugs to monotherapy, 47.57%; combined mainly concentrated in the second with 32.04%; Institute for pathogens check and drug susceptibility testing ratio is low, only 27.18%. Sampling department use of antibiotics to β-lactam, cephalosporin most high frequency; restrictions on the use of varieties use too much, too high a frequency, the proportion is too large, transplant division special use of antimicrobial agents rates highest for 19.50%; combined usage is high, mostly in the second with the primary; pathogens check and drug susceptibility testing. Conclusion sIn my hospital antibiotic overall usage is high, should be considered fair use, is still a need to intensify the use of antimicrobial agents in the management and super-vision.

Key words: inpatients, antibacterial drugs, irrational use, survey and analysis

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