摘要
目的 利用药历图辅助分析某院抗菌药物使用情况。方法 在全院 2 0 0 2年 5～ 9月间的出院病历中抽查住院时间 >7d ,使用抗菌药物≥ 3d的出院病历 30 5份 ,绘制药历图回顾性分析抗菌药物使用情况。结果 使用频率较高的前 4位抗菌药物是 :第三代头孢菌素、青霉素、喹诺酮类、甲硝唑 ;预防性使用抗菌药物占 5 0 % ,联合用药达 75 .1 4 %。治疗前未做药敏试验占 97.0 5 %。西药费用在医用总经费比率 >5 0 %的科室有 7个 ,抗菌药物在其中占主要部分。结论 须控制第三代头孢菌素的使用 。
Objective To analyse the clinical application of antimicrobial agents by pharmaceutical care database (PCD) chart. Methods Medical records of 305 discharged patients who were once hospitalized more than 7 days and received antimicrobial agents at least 3 days were chosen, and PCD chart was drawn for analysing the antimicrobial agents application retrospectively. Results The commonly used antimicrobial agents were the third generation cephalosporins, penicillins, fluoroquinolones, metronidazole, 50% of antimicrobial agents were for prophylaxis, 75.14% of patients received combined antimicrobial agents, 97.05% of patients received antimicrobial agents without performing antimicrobial susceptibility test beforehand. Conclusion The application of the third generation cephalosporins should be restricted, and the frequency and duration of antimicrobical agents application should be reduced.
出处
《中国感染控制杂志》
CAS
2004年第3期232-233,249,共3页
Chinese Journal of Infection Control
关键词
抗菌药物
数据收集
费用
药物
合理用药
antimicrobial agents
data collection
fees, pharmaceutical
rational usage of antimicrobial agents
