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目的分析抗生素应用于急性上呼吸道感染患者的必要性、合理性。方法调查2014年7月~2016年2月我院收治的急性上呼吸道感染患者100例,将其血常规、体温、抗生素用药品种、联合用药、给药途径、并发症等资料进行登记、分析。结果抗生素应用率达99%,共涉及4类16种,最常使用的是:青霉素G、头孢唑啉钠、头孢曲松钠。单一抗生素用药率为35.35%;二联应用率为49.49%;三联应用率为15.15%。口服用药率为11.11%;静脉给药率为69.70%;同时进行口服给药、静脉给药的病例占19.19%。结论我院对于抗生素的应用情况存在着抗生素的应用率过高、联合使用抗生素的比例偏高、给药方法不当等问题,应加强制度化管理。
Objective To analyze the necessity and rationality of antibiotics in patients with acute upper respiratory tract infection. Methods 100 cases of acute upper respiratory tract infection admitted to our hospital from July 2014 to February 2016 were enrolled and their blood routine, body temperature, variety of antibiotics used, drug combination, route of administration and complications were checked and analyzed. Results Antibiotic application rate of 99%, involving a total of 16 species in 16 categories, the most commonly used are: penicillin G, cefazolin sodium, ceftriaxone sodium. The single antibiotic dosage was 35.35%; the second application rate was 49.49%; the triple application rate was 15.15%. The rate of oral administration was 11.11%. The rate of intravenous administration was 69.70%. At the same time, oral administration and intravenous administration accounted for 19.19%. Conclusion In our hospital, there are some problems in the application of antibiotics, such as the high application rate of antibiotics, the high proportion of antibiotics used in combination, improper dosing method and so on. Therefore, institutional management should be strengthened.