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目的调查研究本院住院患者的抗菌药物应用情况,为促进抗菌药物临床合理应用提供参考。方法临床药学室每月随机抽取出院病历180~230份进行医嘱点评,2013年抽取出院病历2520份,对其中使用抗菌药物的病历根据各项法律法规统计分析评价。结果在抽取的2520份病历中,使用抗菌药物的病历有640份(25.39%)。抗菌药物使用合理450/640份(70.31%);不合理190/640份(29.69%)。不合理应用情况:给药频次不当、预防给药时机不合理、联用不合理、换药无指征等。结论我院抗菌药物使用基本规范,但仍然存在部分不合理现象,仍需加强抗菌药物相关知识法规培训,提高合理用药水平。
Objective To investigate the application of antibacterials in inpatients in our hospital and provide references for the rational clinical application of antibacterials. Methods The clinical pharmacy randomly selected 180 to 230 medical records each month to comment on the doctor’s orders. In 2013, 2520 medical records were collected and discharged. The medical records of antibiotics were statistically analyzed and evaluated according to various laws and regulations. Results Of the 2520 medical records drawn, 640 were antibiotics (25.39%). The rational use of antimicrobial agents was 450/640 (70.31%); unreasonable 190/640 (29.69%). Irrational application: improper dosing, improper timing of administration, unreasonable combination, no indication for dressing change, etc. Conclusion The basic norms of antimicrobial use in our hospital, but there are still some unreasonable phenomenon, still need to strengthen the training of knowledge and regulations related to antimicrobial agents, to improve the level of rational drug use.