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目的:了解西藏拉萨住院患者抗菌药物使用情况,为临床合理使用抗菌药提供参考。方法:随机抽取拉萨某医院2009年度住院患者病历300份,对其抗菌药物的使用频率、使用疗程、种类、剂量、适应证以及抗菌药物使用科室分布等指标进行统计分析。结果:该院抗菌药物的总使用率为96%,抗菌药物涉及7类38种,其中使用率最高的为青霉素类。临床各科室抗菌药物使用率均超过85%,其中外科和儿科高达100%,干部病房使用率最低为86%;静脉给药达92.4%,口服给药仅为0.7%。结论:拉萨住院患者抗菌药物使用总体上合理,但仍存在一些不合理使用抗菌药物的现象,与《抗菌药物临床应用指导原则》中的要求还有一定的差距,需进一步加强管理以促进抗菌药物的合理使用。
Objective: To understand the use of antibacterials in hospitalized patients in Lhasa, Tibet, and provide a reference for the rational use of antibacterials in clinics. Methods: A total of 300 medical records of inpatients in a hospital in Lhasa were randomly selected for statistical analysis of the frequency of antimicrobial use, the course of use, the type, dosage, indications and the distribution of antimicrobial agents. Results: The hospital’s total use of antibacterial drugs was 96%, antibacterial drugs involved 7 kinds of 38 species, of which the highest utilization rate of penicillins. The clinical use of antibacterials in all clinical departments exceeded 85%, of which surgical and pediatric up to 100%, cadres ward the lowest rate of 86%; intravenous administration of 92.4%, oral administration of only 0.7%. Conclusion: The use of antimicrobials in hospitalized patients in Lhasa is generally reasonable, but there are still some unreasonable use of antimicrobial agents. There is still a gap between the antimicrobial agents and the requirements in the Guiding Principles of Antibacterial Drug Use, which needs to be further strengthened to promote antimicrobial agents The rational use of.