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中国医药导刊 ›› 2020, Vol. 22 ›› Issue (9): 646-649.

• 管理与实践 • 上一篇    下一篇

我院600例呼吸科住院患者抗菌药物使用情况分析

 吕晓峰1, 周鹏1*, 刘瑞霞1,2   

  1. 1. 河南中医药大学第一附属医院, 河南 郑州 450000;
    2. 中牟县中医院, 河南 郑州 451450
  • 收稿日期:2020-04-17 修回日期:2020-06-09 出版日期:2020-09-29 发布日期:2020-11-10

Analysis of Antibacterial Use in 600 Respiratory Inpatients in Our Hospital

  1. 1. The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Henan Zhengzhou 450000, China;
    2. Zhongmou Hospital of Traditional Chinese Medicine, Henan Zhengzhou 451450, China
  • Received:2020-04-17 Revised:2020-06-09 Online:2020-09-29 Published:2020-11-10

摘要: 目的:了解我院呼吸科抗菌药物使用情况,为抗菌药物的合理使用提供依据。方法:随机抽取2019年6~12月我院呼吸科出院病例600例,对患者的临床资料进行回顾性分析,内容包括患者的性别、年龄、诊断、药物种类、药品规格、用法用量、用药疗程、联合用药等。结果:600例患者共应用抗菌药物32种,使用抗菌药物的患者506例,抗菌药物使用率达到84.33%;其中使用频率位居第一的抗菌药物为青霉素类,联合用药以左氧氟沙星注射液+青霉素类最常用;二联用药36.9%,三联用药11.7%,四联用药1.2%,病原学送检率62.8%。结论:我院呼吸科住院患者的抗菌药物使用基本合理, 但也存在联合用药、给药剂量、给药频次不适宜等一些不合理之处,应加强管理,促进临床应用抗菌药物更加安全、有效、合理。
 

关键词: font-size:medium, ">呼吸科;抗菌药物;合理用药

Abstract: Objective: To investigate the use of antibacterial agents in the respiratory department in our hospital and provide basis for the rational use of antibacterial agents. Methods: A total of 600 patients in the respiratory department of our hospital from June to December 2019 were randomly selected, and the clinical data were retrospectively analyzed, including gender, age, diagnosis, drug type, drug specification, dosage and administration, course of medication, and combination medication, etc. Results: Among the 600 patients, 32 antibacterial drugs were applied, 506 patients were treated with antibacterial drugs, and the utilization rate of antibacterial drugs reached 84.33%. The antibacterial drug with the highest frequency of use was penicillins, and the most common drug combination was levofloxacin injection and penicillins. The dual therapy was 36.9%, triple therapy was 11.7%, quadruple therapy was 1.2%, and the rate of pathogenic examination was 62.8%. Conclusion: The use of antibacterial drugs in the respiratory department of our hospital is basically reasonable, but there are some unreasonable uses such as drug combination use, dosage and frequency of administration. The management should be strengthened to promote the safe, effective and reasonable clinical application of antimicrobial drugs.
   

Key words: font-size:medium, ">Respiratory department; Antibacterial drugs; Rational drug use

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