摘要
目的调查某市中心乡镇卫生院抗菌药物的使用现状,以促进抗菌药物合理使用。方法随机抽取湖南省某地级市11个县市33所中心乡镇卫生院,对其门诊处方7 920张,非手术患者病历资料465份,手术患者病历资料213份进行调查分析。结果 33所中心乡镇卫生院门诊、住院患者抗菌药物使用率分别为56.60%、89.68%,联合用药率分别为24.16%、43.58%。住院患者抗菌药物使用强度为147.25 DDDs。手术患者抗菌药物使用率为97.18%,联合用药率为59.90%,其中单一、二联、三联及以上用药分别占40.10%、47.82%、12.08%。Ⅰ、Ⅱ、Ⅲ类切口手术患者抗菌药物使用率分别为97.56%(40/41)、96.93%(158/163)、100.00%(9/9),联合用药率分别为30.00%、67.72%、44.44%。结论该地级市33所中心乡镇卫生院存在普遍过度使用抗菌药物的现象,其抗菌药物使用率、联合用药率、住院患者抗菌药物使用强度及Ⅰ类切口抗菌药物预防使用率均较高。
Objective To investigate antimicrobial use in 33 township central hospitals, and improve the rational use of antimicrobial agents. Methods Thirty-three township central hospitals in 11 counties were randomly select- ed, 7 920 outpatient prescriptions, medical records of 465 non-surgery patients and 213 surgery patients were inves- tigated and analyzed. Results Of 33 hospitals, antimicrobial usage rate in outpatients and inpatients was 56.60 and 89.68% respectively,combined antimicrobial usage rate was 24. 16% and 43.58% respectively. Antimicrobial use density in inpatients was 147. 25DDDs. Antimicrobial usage rate in surgery patients was 97. 18%, combined an- timicrobial usage rate was 59.90%, the percentage of one drug, two-drug combination and three-drug combination was 40.10%, 47.82%, and 12.08% respectively. The percentage of antimicrobial use in patients of type Ⅰ ,Ⅱ, and Ⅲ incision was 97.56%（40/41）, 96.93% （158/163） and 100.00%（9/9）respectively,combined antimicrobial us- age rate was 30.00% ,67.72%, and 44. 44% respectively. Conclusion The overuse of antimicrobial agents exists in 33 township central hospitals, antimicrobial usage rate, combined usage rate, antimicrobial use density and antimi- crobial prophylaxis in type I incision operations are all high.
出处
《中国感染控制杂志》
CAS
2014年第11期654-658,共5页
Chinese Journal of Infection Control
基金
湖南省科技项目(2014SK3129)
怀化市科技项目([2013]4号1-15-2)
关键词
乡镇卫生院
手术类型
抗菌药物
合理用药
门诊处方
township hospital
operation type
antimicrobial agent
rational drug use
outpatient prescription
