期刊文献+

我院住院患者抗菌药使用情况分析 被引量:6

Analysis of Antibiotic Application in Inpatients of Our Hospital
暂未订购
导出
摘要 目的:总结我院住院患者抗菌药的临床应用情况,进一步规范抗菌药的使用。方法:利用医院计算机管理系统,对我院2011年1~6月抗菌药使用情况进行回顾性分析。结果:我院抗菌药使用率为58.5%,使用强度为43.1DDD,外科系统抗菌药使用率、使用强度均高于内科系统;接受抗菌药治疗的住院患者微生物样本送检率为21.0%,外科系统低于内科系统;切口手术患者预防用抗菌药比例高达100%,术前0.5~2 h给药占76.1%,用药不超过24 h占30.1%;住院患者以β-内酰胺类抗菌药使用人数最多(占55.2%),其次是硝基咪唑类(占17.3%)。结论:我院抗茵药应用尚存在不规范现象,需加强监管力度,促进抗菌药合理使用。 Objective: To analyze the status of antibiotic application in inpatients of our hospital and further improve the rational use of antibiotics. Method : The usage conditions of antibiotics were analyzed retrospectively by the hospital information systems during January to June in 2011. Result: 58.5% inpatients were found to have taken antibiotics and the antibiotic use density (AUD) was 43.1 DDD. The usage rate and intensity of surgery department were both higher than that of medical department. The bacteria exami- nation rate of the inpatients treated with antibiotics was 21.0% and surgery department was lower than medical department. The antibiotics utilization in the clean operation inpatients was 100%, among them, 76.1% was administrated at 0.5-2 h before operation and 30.1% stopped the antibiotics usage in 24 h. β-Lactam antibiotics were the most used (55.2%) followed by nitroimidazoles. Conclusion: Irrational use of antibiotics still exists in our hospital. It is urgent to strengthen the antibiotics monitoring to promote the rational use.
出处 《中国药师》 CAS 2012年第2期247-249,共3页 China Pharmacist
关键词 住院患者 抗菌药 合理用药 Inpatients Antibiotics Rational drug use
  • 相关文献

参考文献6

二级参考文献19

共引文献119

同被引文献29

  • 1孟黎辉,郑佳,李婷.抗菌药物应用调查的量化评估与分析[J].中国感染控制杂志,2006,5(4):330-332. 被引量:20
  • 2卫生部,国家中医药管理局,总后卫生部.抗茵药物临床应用指导原则[S].卫医发[2004]285号.
  • 3卫生部医院管理研究所药事管理研究部,中国医院协会药事管理专业委员会.医疗机构合理用药指标释义[EB/OL].http://yszk.zjwst.gov.cn/Phacy/ShowArticle/2/4172.htm,2011-04-28/2011-08-22.
  • 4卫生部医管司关于征求《普通外科I类(清洁)切口手术围手术期预防用抗菌药物管理实施细则(征求意见稿)》《剖宫产手术围手术期预防用抗菌药物管理实施细则(征求意见稿)》意见的通知[EB/OL].http://www.moh.gov.cn/p¨她币les/business/htmlfiles/mohylfwjgs/s7656/200911/44702.htm,2009-11-25/2012-06.26.
  • 5卫生部.卫生部办公厅关于印发《二级综合医院评审标准(2012年版)实施细则》的通知[EB/OL].http://www.moh.gov.cn/pub-licfiles/business/htmlfiles/mohylfwjgs/s3578/201205/54977.htm,2012-05.31/2012-08-07.
  • 6WHO. Drug and Therapeutics Committees - A Practical Guide (2003 ; 155 pages) [ EB/OL]. http://apps, who. int/medicinedocs/ en/d/Js4882e/9, html ,2004-Ol-O1/2012-06-20.
  • 7Meyer E, Jonas D, Schwab F, et al. Design of a surveillance system of antibiotic use and bacterial resistance in German intensive care units [ J ] . Infection, 2003 , 31 ( 4 ) : 208-215.
  • 8中华人民共和国卫生部.卫生部办公厅关于做好全国抗菌药物l临床应用专项整治活动的通知[EB/0L].(201卜04-18)[2012-1l_15].http://www.moh.gov.cn/mohyzs/s3586/201104/51376.shtml.
  • 9de With K, Bestehorn H, Steib-Bauert M, etal. Comparison of defined versus recommended versus prescribed daily doses for measuring hospital antibiotic consumption[J]. Infection, 2009,37(4) : 349-352.
  • 10卫生部抗菌药物临床应用监测网.抗菌药物分类及规定日剂量(DDD)[EB/OI.].(2011-08)[2012-11-15].http://www.chinadtc.org.cn/ois/uploadfile/com-content/133041473904570500.pdf.

引证文献6

二级引证文献10

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部