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目的:研究台州市黄岩区院桥中心卫生院内科住院患者抗菌药物的临床应用情况,结合临床文献进行分析,为今后的抗菌药物使用做出建议和指导。方法:采用回顾性调查方法对台州市黄岩区院桥中心卫生院2010年10月~2010年12月之间内科住院患者的抗菌药物使用情况进行统计调查,对各类抗菌药物使用率和各系统用药情况进行分析。结果:本次共调查180例患者资料,诊断为感染的患者共102例,占总数的56.7%,而本次180例患者中共有121例患者应用了抗菌药物,抗菌药使用率为67.2%,抗菌药物主要包括青霉素类、头孢菌素类、喹诺酮类、多肽类、碳青霉烯类、大环内酯类、抗真菌类、氨基糖苷类以及克林霉素,其中青霉素类药物应用率最高,占43.0%,在疾病类别统计中,呼吸系统疾病患者的抗菌药物应用率最高,占93.3%。结论:目前内科临床抗菌药物应用存在不合理问题,用药比例偏高,应当加强用药监督,提高用药合理性。
Objective: To study the clinical application of antibacterials in hospitalized patients in hospital of Huangqiao District Hospital of Huangyan District, Taizhou, and to analyze the clinical literature for future recommendations and guidance on the use of antibacterials. Methods: A retrospective survey was conducted to investigate the use of antibacterials in medical inpatients from January 2010 to December 2010 in Huangqiao District Hospital of Taizhou from January 2010 to December 2010, Medication situation analysis. Results: A total of 102 patients were diagnosed as infected, accounting for 56.7% of the total. Of the 180 patients, 121 patients used antimicrobial drugs and the antibacterials utilization rate was 67.2% Antibacterial drugs include penicillins, cephalosporins, quinolones, peptides, carbapenems, macrolides, antifungal, aminoglycosides and clindamycin, of which the highest rate of penicillin drugs , Accounting for 43.0%. Among the categories of diseases, the patients with respiratory diseases had the highest rate of antibacterial drugs, accounting for 93.3%. Conclusion: At present, there are unreasonable problems in the application of clinical antibacterial drugs in internal medicine. The proportion of drugs used in medicine is too high. Drug supervision should be strengthened to improve the rationality of drug use.