摘要
目的对手术患者抗菌药物合理性情况进行分析,促进临床合理用药。方法随机抽取南阳市中心医院2008年、2009年每个季度出院手术病历各15份,共120份,依据相关管理规定,对抗菌药物使用合理性进行评价。结果抗菌药物使用率为100%,主要为第二代头孢菌素类(15.1%)、第三代头孢菌素类(20.8%)、头霉素类(24.5%)等,不合理现象主要存在于适应证(18.3%)、药物选择(68.4%)、单次剂量(43.9%)、术前用药时间(58.2%)和术后用药(86.7%)等项目中。结论手术患者预防性应用抗菌药物仍存在不合理现象,应加强管理,促进抗菌药物合理应用。
To analyse the usage of antibacterials in patients with surgery and promote the rational application in clinical practice.Methods We selected randomly 120 samples from inpatients in surgery department during the period from 2008 to 2009,15 samples for every quarter,and analyzed the rationality of antibacterials usage according to relevant provisions.Results The antibacterials utilization rate was 100%,mainly the second generation cephalosporins（15.1%）,the third generation cephalosporins（20.8%） and cephamycins（24.5%）.Irrational usage mostly exists in the following projects：indication（18.3%）,drug selection（68.4%）,single dose（43.9%）,preoperative medication time（58.2%） and postoperative medication（86.7%）.Conclusion In our hospital,anomaly prophylactic usage of antibacterials in surgery patients still exists.We should strengthen management,and promote the rational use of antibacterials.
出处
《中国误诊学杂志》
CAS
2011年第16期3802-3804,共3页
Chinese Journal of Misdiagnostics
关键词
抗菌药/治疗应用
药物利用
Anti-Bacterial Agents/therapeutic use
Drug Utilization
