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目的:了解某院门诊住院患者抗菌药物的使用情况。方法:采用横断面调查方法,对某院2009年12月16日0:00～24:00时抗菌药物临床应用调查进行分析。结果:门诊抗菌药物横断面使用率34.6%,住院部抗菌药物横断面使用率54.58%。门诊使用抗菌药物7类品种数15种,住院部使用抗菌药物7类品种71种。病原学平均送检率为14.38%。结论:门诊儿科、泌尿外科、妇产科、呼吸内科、抗菌药物横断面使用率较高,儿科用药起点偏高。住院部抗菌药物横断面使用率偏高,特殊人群有抗菌药物过度使用的可能性,术后用药时间不符合《抗菌药物临床应用指导原则》标准及临床情况。Ⅰ类手术切口预防用药选择存在超出相关管理规定、起点高、面较宽的现象,全院临床科室治疗性病原学送检率偏低。因此,需要更进一步加强抗菌药物的合理使用管理。
Objective: To understand the use of antibacterials in inpatients in a hospital. Methods: A cross - sectional survey method was used to analyze the clinical application of antibacterials from 0:00 to 24:00 on December 16, 2009 in a hospital. Results: Outpatient antibacterial cross-sectional utilization rate of 34.6%, inpatient antibacterial cross-sectional utilization rate of 54.58%. Outpatient use of antibacterial drugs in seven categories of 15 species, inpatient use of antimicrobial drugs 71 species 71 species. The average rate of etiology was 14.38%. Conclusion: Outpatient pediatrics, urology, obstetrics and gynecology, respiratory medicine, antimicrobial cross-sectional use of higher rates, pediatric high starting point. Inpatient department antibacterial cross-sectional high utilization rate, the special population has the possibility of overuse of antibacterial drugs, postoperative medication does not meet the “guidelines for the clinical application of antimicrobial agents” standards and clinical conditions. Class Ⅰ surgical incision prevention medication choice exists beyond the relevant management requirements, a high starting point, a wide range of phenomena, the hospital clinical departments of treatment of etiology low detection rate. Therefore, we need to further strengthen the rational use of antimicrobial agents.