1040例在院病人抗生素一日使用调查报告
抗生素；使用；合理用药,,抗生素；使用；合理用药,1资料与方法,2结果,3讨论,参考文献
摘要 目的 了解住院病人抗生素使用情况。方法 采用横断面调查的方法对我院2005年7月27日所有住院病人抗生素使用情况进行调查。结果 抗生素日使用率为3481%(304/1040)，治疗用抗生素占3967%(144/363)，预防用占1625%(59/363)，治疗+预防占4408%(160/363)，抗生素单用和二联占9504%(344/363)，三联及以上者496%(18/363)，抗生素日使用种类47种，病原体送检率757%(23/304)。结论 我院抗生素日使用率不高，抗生素联合使用总体较好，但仍有病原送检率低、抗生素使用品种多、起点高、部分围术期抗生素预防用药的时机不合理等现象，建议加强宣传教育力度，提高监测速度和指导医师合理用药。关键词 抗生素；使用；合理用药
Investigation of Antibiotic Application of 1040 In-patients in One Day
ZHANG Yan,REN Fu-xiang,YANG Ye-sheng,YANG Hong-xiu, LI Fang-yin,LIU Tu-fu,CHAHong,YAN Yu-fen, SHI Bao-xin, CHA Yun-hui, XU Yue-hua,
kunming General Hospital of Chengdu Military Command, Kunming, Yunnan 650032
ABSTRACT Objective: To investigate antibiotic application of in-patients in 1 day. Methods:Cross-sectional investigation was made to antibiotic application of the in-patients on July 27,2005.Results:Antibiotic application rate in 1 day was34.81? (304/1040),antibiotic application rate for treatment was 39.67%(144/363), antibiotic application rate for prevention was 16.25%(59/363), application for treatment plus prevention covered 44.08%(160/363);single and bigeminal application of antibiotic covered 94.04%(344/363), triple application and over triple covered 4.96%(18/363), one-day antibiotic application included 47 kinds, pathogen rate was 7.57%(23/304). Conclusions: One-day antibiotic application rate was low in our hospital, the combined application of antibiotic was well performed, but pathogen detection rate was low, too many antibiotic were applied, some application tine for prevention in perioperative period was not correct;the education should be strengthened, detection and guidance for doctors in rational drug application should be promoted. ......
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