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目的了解抗菌药物专项整治活动开展以来,某院住院患者抗菌药物应用现状,分析评价其合理性。方法随机抽取2011年7~9月出院病历159份,对其抗菌药物应用情况进行分析评价。结果该院抗菌药物使用率为56%;使用较多为头孢菌素类及广谱青霉素类;微生物标本送检率低;在药物适应症,药物选择,用药疗程,Ⅰ类切口手术预防用药,药物更换和联合用药方面,仍存在较多不合理现象。结论该院抗菌药物还存在较多不合理想象,应加大抗菌药物的培训、监督和干预力度。
Objective To understand the antimicrobial drug special rectification activities since the implementation of an inpatient hospital antibacterial drug application status, analysis and evaluation of its rationality. Methods A total of 159 discharged medical records from July to September in 2011 were randomly selected and analyzed for their antimicrobial application. The results of the hospital antibacterial drug use rate was 56%; the use of more for cephalosporins and broad-spectrum penicillins; microbial samples delivery rate is low; in the indications for the drug, drug selection, medication, Ⅰ type incision surgery preventive medication, There are still many unreasonable phenomena in drug replacement and combination treatment. Conclusion There are still many irrational antimicrobial agents in this hospital. Training, supervision and intervention of antimicrobial agents should be strengthened.