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目的:调查和了解新疆维吾尔自治区不同级别医院日抗生素使用情况。方法:与医院感染现患率调查同时进行,采用床边调查和查阅病例相结合的方法,调查2009年9月23日住院患者使用抗生素的情况并进行比较分析。结果:35家医院住院患者15 196例的抗生素使用率为43.68%,不同级别医院住院患者日抗生素使用率比较差异有统计学意义(P<0.01);不同级别医院住院患者细菌培养送检率比较差异有统计学意义(P<0.01);外科住院患者抗生素使用率高于内科(P<0.01),内科住院患者细菌培养送检率高于外科(P<0.01)。结论:应加强抗生素临床应用管理。
Objective: To investigate and understand the daily use of antibiotics in different levels of hospitals in Xinjiang Uygur Autonomous Region. Methods: At the same time, the prevalence rate of nosocomial infection was investigated. By using the combination of bedside investigation and case review, we investigated the use of antibiotics in hospitalized patients on September 23, 2009 and conducted comparative analysis. Results: The antibiotic use rate of 15 196 in 35 hospitals was 43.68%. There was significant difference in the daily antibiotic use rate among inpatients in different levels of hospitals (P <0.01). The rate of in-hospital bacterial inpatients was significantly higher than that in other hospitals The difference was statistically significant (P <0.01). The antibiotic use rate in surgical inpatients was higher than that in internal medicine (P <0.01). The rate of bacterial culture in hospitalized inpatients was higher than that in surgical patients (P <0.01). Conclusion: The clinical application of antibiotics should be strengthened.