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目的调查医院近3年临床科室抗菌药物使用和细菌学检查情况,分析存在的问题,为医院合理使用抗菌药物的管理提供依据。方法采取回顾性和横断面调查方法 ,每季度抽取临床各科室住院、出院病历各10份,对抗菌药物使用情况和细菌学检查进行调查统计分析。结果 3年抗菌药物使用率为70.8%,细菌标本送检率为38.5%,其中,内科系统抗菌药物使用率为55.3%,细菌标本送检率为55.5%,外科系统抗菌药物使用率为86.2%,细菌标本送检率为25.1%;在使用抗菌药物患者中,单用的1334例(62.4%),二联773例(36.2%),≥三联30例(1.40%)。结论医院抗菌药物使用率较高,细菌标本送检率较低,因此应采取综合措施,加强抗菌药物合理应用的管理,特别是需关注外科抗菌药物的合理使用。
Objective To investigate the use of antibiotics and bacteriological examination in the clinical departments of the hospital in recent 3 years and to analyze the existing problems so as to provide the basis for the rational use of antibacterials in the hospital. Methods A retrospective and cross-sectional survey method was used to collect 10 hospitalized and discharged medical records in all clinical departments every quarter. Investigation and statistical analysis were conducted on the use of antimicrobial drugs and bacteriological examination. Results The antibacterials utilization rate was 70.8% in 3 years and 38.5% in bacterial specimens, of which 55.3% in medical system, 55.5% in bacterial system, 86.2% in surgical system, , And the rate of bacterial specimens was 25.1%. Among the patients taking antimicrobial drugs, 1334 cases (62.4%) were single use, 773 cases (36.2%) were duplex and 30 cases (1.40%) were triple therapy. Conclusion The hospital antibacterial use rate is high, the rate of delivery of bacterial specimens is low, so we should take comprehensive measures to strengthen the rational use of antimicrobial agents management, in particular the need to pay attention to the rational use of surgical antibacterials.