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目的调查住院患者的抗菌药物应用情况,以促进抗菌药物临床合理应用。方法每月随机抽查出院病历150份进行医嘱点评,2015年1~8月抽取出院病历1200份,对其中使用抗菌药物的病历进行统计分析。结果抽取的1200份病历中,使用抗菌药物的病历有638份(53.17%),不合理用药的份数有147份,占23.04%(147/638)。不合理用药主要包括以下几个方面:给药频次不当、联用不合理、预防给药时机不合理、无指征用药、随意换药等。结论某院住院患者抗菌药物使用存在部分不合理现象,需加强抗菌药物相关知识、法规的培训,提高合理用药水平。
Objective To investigate the application of antibacterials in hospitalized patients so as to promote the rational clinical application of antibacterials. Methods A total of 150 hospitalized medical records were randomly selected every month for review. From January to August 2015, 1200 medical records were collected and the medical records of antibiotics were statistically analyzed. Results Of the 1,200 medical records taken, 638 (53.17%) were recorded on antibiotics, 147 were irrational, accounting for 23.04% (147/638). Irrational use of drugs mainly include the following aspects: improper frequency of administration, combined with unreasonable, to prevent the timing of drug delivery is irrational, no indications for medication, casual dressing change. Conclusion There is some unreasonable use of antibacterials in inpatients in a hospital. Training on relevant knowledge and laws of antibiotics should be strengthened so as to improve the rational use of drugs.