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目的:调查分析肾内科住院患者抗生素应用情况,为肾内科住院患者合理性用药提出相关建议。方法:采用回顾性研究方法,选取浙江省嘉兴市第一医院2014年6月~2015年5月在肾内科住院的900例患者为研究对象,分析抗生素使用情况。结果:有801例使用抗生素,其中594例使用1种抗生素,207例使用两种抗生素,抗生素品种共32种(P<0.05)。801例抗生素使用者中,属于治疗性的558例,属于预防性的243例(P<0.05)。预防性抗生素使用者均通过静脉给药,使用时间大于1天者占11.66%,使用1天者占88.34%(P<0.05)。结论:肾内科住院患者应用抗生素情况比较常见,超过WHO抗生素使用50%的规定。提示肾内科需注意合理使用抗生素。
Objective: To investigate and analyze the antibiotic application in inpatients in the department of nephrology and to make relevant suggestions for rational use of drugs in inpatients of nephrology. Methods: A retrospective study was conducted to investigate the use of antibiotics in 900 hospitalized patients in Department of Nephrology, First Hospital of Jiaxing, Zhejiang Province from June 2014 to May 2015. Results: There were 801 cases using antibiotics, of which 594 cases used one kind of antibiotics, 207 cases used two kinds of antibiotics and 32 kinds of antibiotics (P <0.05). Of the 801 antibiotic users, 558 were therapeutic and 243 were preventable (P <0.05). Preventive antibiotics users were intravenous administration, the use of time is greater than 1 day accounted for 11.66%, 1 day accounted for 88.34% (P <0.05). CONCLUSIONS: Inpatient use of antibiotics is more common in the Department of Nephrology, exceeding the 50% requirement of WHO antibiotics. Tip Nephrology should pay attention to the rational use of antibiotics.