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目的调查呼吸内科住院患者致病菌分布及抗菌药物的使用情况。方法对呼吸内科625份住院病历病原学检查及抗菌药物使用情况进行统计分析。结果呼吸内科常见的致病菌为肺炎克雷伯菌、大肠埃希菌、铜绿假单胞菌和金葡菌;抗菌药物使用率为100%,联用率为60.8%,药物选择以头孢菌素类为主。结论呼吸内科常见致病菌耐药形势严峻,抗菌药物使用情况基本合理,有不合理用药现象。
Objective To investigate the distribution of pathogenic bacteria in hospitalized respiratory patients and the use of antibacterials. Methods A total of 625 inpatient records in respiratory medicine were collected for pathogenic examination and antibacterials usage analysis. Results The common pathogenic bacteria in respiratory medicine were Klebsiella pneumoniae, Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus; the antibacterial drug use rate was 100% and the combined use rate was 60.8% The main category. Conclusions The common pathogenic bacteria in respiratory medicine are facing a serious drug resistance situation. The use of antibacterial drugs is basically reasonable and there is an irrational drug use.