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调查郴州市、县、乡级医院各一所,了解其抗茵药物应用情况,随机抽查内、外、妇、儿科住院病历360份和门诊处方4275张,结果发现抗菌药物应用率分别为100%与29.4%。360例住院病例中有182例属不合理应用,门诊开有抗菌药物的1255张处方中有147张为不合理应用。调查发现级别低的医院或职称较低的医生抗茵药物不合理应用情况较为严重,用药较为混乱的常见疾病为:上呼吸道感染、细菌性痢疾、伤寒及慢性阻塞性肺疾病(OPD)。揭示抗菌药物的不合理应用应引起医务人员的高度重视,建议要加强在职培训,规范抗菌药的应用。
Investigate Chenzhou City, county, township hospitals each one, to understand the application of anti-inflammatory drugs, random checks of internal and external, women, pediatric medical records 360 and 4275 outpatient prescriptions and found that the application rate of antibacterial drugs were 100% With 29.4%. Of the 360 hospitalized cases, 182 were unreasonable, and out of 1255 prescriptions with out-patient antibacterials, 147 were unreasonable. The survey found that hospitals with low rankings or doctors with lower professional titles were more unhealthy in using irrigational drugs. Common diseases with more confusing medication were upper respiratory tract infection, bacillary dysentery, typhoid and chronic obstructive pulmonary disease (OPD). Reveal the irrational application of antibacterial drugs should arouse the medical staff’s attention, it is recommended to strengthen on-the-job training, regulate the application of antibacterials.