摘要
目的分析住院患者抗菌药物治疗性使用过程中病原学送检情况,为提高抗菌药物治疗前病原学送检率提供参考。方法回顾性分析某综合医院2021年1月1日至2022年12月31日期间全身性治疗使用抗菌药物的患者病原学送检情况,比较不同时段、不同病原学标本和不同级别抗菌药物的病原学送检率。结果2022年抗菌药物治疗前、治疗后和住院期间送检率分别为35.23%、26.75%和61.98%,均显著高于2021年(P<0.001);2022年降钙素原送检率为52.04%,显著高于2021年(χ^(2)=194.139,P<0.001),血培养送检率为30.58%,显著低于2021年(χ^(2)=12.568,P<0.001);2022年限制级和特殊级抗菌药物治疗前病原学送检率分别为41.96%和84.32%,均显著高于2021年(P<0.05)。结论住院患者抗菌药物治疗前病原学标本送检率总体水平较前提升,但标本送检时机和送检结构等仍需改进。应提高无菌标本微生物培养及药敏试验的送检率。
Objective To analyze the pathogenic inspection submission of hospitalized patients with therapeutic use of antibacterial drugs and to provide reference for improving the pathogenic inspection rate of the patients.Methods The pathogenic inspection of patients using antibiotics for systemic treatment in a general hospital from 1st January 2021 to 31st December 2022 was analyzed retrospectively,and the pathogenic inspection rates of different stages,different pathogenic specimens and different grades of antibiotics were compared.Results In 2022,the pathogenic inspection rates of before the antimicrobial treatment,after the treatment and during the hospitalization were 35.23%,26.75%,and 61.98%,respectively,which were significantly higher than those in 2021(P<0.001).In 2022,the pathogenic inspection rate of PCT was 52.04%,which was significantly higher than that in 2021(χ^(2)=194.139,P<0.001).The rate of blood culture was 30.58%,significantly lower than that in 2021(χ^(2)=12.568,P<0.001).Before the treatment of restricted and special antimicrobial drugs in 2022,the pathogenic inspection rates were 41.96%and 84.32%,respectively,which were significantly higher than those in 2021(P<0.05).Conclusion The pathogenic sample inspection rate of hospitalized patients has been improved before the treatment of antibiotics,but the inspection timing and structure of samples still need to be improved,and the rate of microorganism culture and drug sensitivity tests should be improved.
作者
吕敏
姜雪锦
孙吉花
陈建伟
LYU Min;JIANG Xuejin;SUN Jihua;CHEN Jianwei(Infection Management Office,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China)
出处
《滨州医学院学报》
2025年第2期145-148,共4页
Journal of Binzhou Medical University
关键词
住院患者
抗菌药物
病原学标本
送检率
inpatient
antibacterial drug
pathogenic sample
inspection rate
