摘要
目的:了解上饶市二级甲等综合医院呼吸内科抗菌药物应用的现状,突出对抗菌药物使用进行监管或干预的必要性和重要性。方法:随机抽取上饶市10家二级甲等综合医院呼吸内科2009年度住院病历共200份(每家20份),对其抗菌药物使用情况进行统计、评价和分析。内容包括抗菌药物使用频度(DDDs)、用药天数、药物总量、药物利用指数(DUI)以及抗菌药物评价其他指标等。结果:200份病历抗菌药物使用合理的占35%,基本合理的占25%,不合理的占40%。结论:在二级医院不合理使用抗菌药物问题依然严峻,临床医师应加强抗菌药物相关专业知识及使用规定方面的培训学习,尽可能为患者选择适宜抗菌药物,同时医院应切实执行国家有关抗菌药物使用的政策规定,重视培养药学专业人才,开展临床药学相关工作,对抗菌药物使用进行必要的监管或干预。
OBJECTIVE：To probe into the drug utilization in respiratory medical departments in Second Level Grade A hospitals of Shanghai so as to emphasize the necessity and significance of tightening control or intervention on the utilization of antibiotics.METHODS：A total of 200 medical records from the respiratory medical departments of ten Second Level Grade A hospitals（10 from each department） were randomly collected in 2009 for statistic analysis on the utilization of antibiotics regarding DDDs,medication course,total dose,DUI and other indexes of the antibacterials.RESULTS：Of the 200 cases,35% used antibiotics rationally,25 rationally on the whole,and 40% irrationally.CONCLUSION：The problem of irrational use of antibiotics in Second Level Grade A hospitals was quite common,therefore,clinicians should strengthen their learning on the knowledge related to antibiotic use to select proper antibiotics,meanwhile,hospital should strictly execute the related regulations on how to use antibacterials,give special attention to the training of pharmaceutical talents,develop clinical pharmacy-related work and tighten necessary control or intervention on the use of antibacterials.
出处
《中国医院用药评价与分析》
2010年第11期996-998,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
二级医院
呼吸内科
抗茵药物
评价分析
Second Level Grade A hospital
Respiratory medical department
Antibacterial
Evaluation and analysis
