摘要
目的 :了解门诊医师抗生素应用情况 ,以利于抗生素的合理使用。方法 :使用统一表格 ,对 2 0 0 2年 1月至 10月门诊处方中病历中抗生素使用情况进行登记。结果 :抗生素使用率 76 .5 % ,抗生素使用的频率以喹诺酮类最多 (4 2 .2 % ) ,大环内酯类次之 (30 .0 % ) ,再次为头孢菌素类、青霉素类、氨基糖甙类 ,分别为 2 5 .3%、9.3%、8.0 %。给药途径以口服及静脉为主 ,分别为 4 4.9%和 4 0 .9%。抗生素联合应用的比例为 5 6 .3% ,预防性应用抗生素占 2 9.5 % ,治疗性用药占 70 .5 %。抗生素应用不合理的现象主要为 :联合应用药理性拮抗及毒副作用增加 ,抗生素应用指征不明确 ,给药方法存在问题和用药配伍禁忌等。作痰细菌培养及药敏者仅占 13.6 %。结论 :积极提倡抗生素的合理应用 ,避免抗生素盲目使用、滥用及不合理现象的发生 ,以达到抗生素治疗的最佳效果及减轻患者经济负担的目的。
Objective:To understand the usage of antibiotic in out-patients. Method:To register the antibiotic usage of medical history in outpatient with unification table from January 2002 to October,2002. Results: The usage rate of antibiotic was 76.5% and among them the usage frequency of Quinolone was 42.2%, Macrolides 30.0%, then, they were cephalothin , penicillin and aminogiycosides in order, the usage frequencies were 25.3%, 9.3%, 8.0%, respectively. The treatment of the antibiotic were done by oral or vein, they were 44.9% and 40.9%. The combination rate of antibiotic usage was 56.3%. The usage rate of antibiotic was 29.5% for prevention, 70.5% for treatment. The main unreasonable usage of antibiotic combination showed accentuated antagonism and ill-effect, the aimless of application, unreasonable methods and match abstinence between in drugs. Conclusions:The usage of antibiotic was assured reasonable and escaped aimlessness and abuse. It is the aim of antibiotic usage that attains the best effective of treatment and the lowest cost of patients.
出处
《河北医学》
CAS
2003年第12期1088-1090,共3页
Hebei Medicine
关键词
抗生素
调查与分析
合理应用
Antibiotic
Investigation and analysis
Reasonable usage
