摘要
目的:为医院抗生素的合理应用提供参考。方法:使用医院药品电子管理系统统计、开展处方点评、病历查阅、患者跟踪随访等。结果:头孢菌素药物使用金额占抗生素使用总金额的比率为72.64%,占医院用药总金额的29.63%;使用品种以二代头孢菌素类占多;门诊患者中与其他抗生素联合使用的比例为35.5%,住院患者中联合使用的比例为21.2%;住院患者细菌培养和药敏试验率为51.5%,药物敏感度为66.7%。结论:我院头孢菌素药物使用比较普遍也基本合理,但仍存在越级越权、非首选使用等不少问题,需进一步规范。
Objective: To investigate the application of cephalosporins and to provide the evidence for rational use.Methods: The investigation was carried out by checking electronic management system,evaluating prescription,looking up medical record and making follow-up survey,etc.Results: Cephalosporin accounted for 72.64% of total application of antibiotic drugs and 29.63% of total drug application.The second generation of cephalosporin was used most frequently.Combination application accounted for 35.5% of cephalosporin application in clinic,and 21.2 % in hospitalized patients.The positive rate of germiculture and antimicrobial susceptibility test was 51.5% and the sensitivity to drugs was 66.7%.Conclusions: The application of cephalosporin use is common and basically reasonable in our hospital.But there are still many problems,such as use of alternative drug instead of first choice antibiotics,abuse use of advanced cephalosporin.So more strict regulations are still needed.
出处
《海南医学院学报》
CAS
2011年第5期688-691,共4页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110172)
关键词
头孢菌素
处方
合理用药
Cephalosporins
Prescription
Rational use of drug