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目的掌握我院抗菌药物临床应用情况,针对不合理处方提出改进建议。方法采用回顾性分析方法,对我院2012年门诊处方和住院患者病历的处方合格率、用药情况等分别进行分析。结果门诊抗菌药物使用比较合理,住院患者抗菌药物使用率较高;同时住院患者抗菌药物DDD总数偏高,存在抗菌药物临床应用不合理现象,其中Ⅰ类切口手术预防用抗菌药物比率过高。结论通过加强有关法规的学习,同时采取经济干预等措施,可达到临床合理使用抗菌药的目的。
Objective To grasp the clinical application of antibacterials in our hospital and to make suggestions for improving unreasonable prescriptions. Methods The retrospective analysis method was used to analyze the prescription pass rate and medication of outpatient prescriptions and hospitalized patients in 2012 in our hospital respectively. Results The outpatient antibacterials were used reasonably and the usage rate of antibacterials was higher in inpatients. At the same time, the total number of DDDs in hospitalized patients was high, which led to the unreasonable clinical application of antibacterials. The proportion of antibacterials for type Ⅰ incision surgeries was too high. Conclusions The purpose of clinical rational use of antibacterials can be achieved by strengthening the study of laws and regulations and adopting economic interventions.