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目的分析评价某院抗菌药物使用情况,为临床合理使用抗菌药物提供参考。方法抽取并总结分析2015年7~12月份门诊抗菌药物处方比例,急诊抗菌药物比例,门急诊联合使用抗菌药物比例,住院患者抗菌药物使用率,住院患者2种以上抗菌药物使用率,I类切口围手术期预防使用抗菌药物比例,抗菌药物使用强度,主要I类切口预防使用抗菌药物情况。结果门诊抗菌药物使用比例均>20%的省控指标(医院西区9月份除外),急诊抗菌药物使用比例未完全达标,门急诊联合使用2种抗菌药物的情况较多,住院患者抗菌药物总体控制在60%以内,住院患者住院期间使用两种以上抗菌药物比例高。I类切口围手术期预防使用抗菌药物药物比例>30%,抗菌药物使用强度未完全达标。结论仍需采取管控措施,规范抗菌药物使用。I类切口的围手术期预防使用抗菌药物档次偏高。
Objective To analyze and evaluate the usage of antibacterials in a hospital and provide references for the rational use of antibacterials in clinic. Methods From July to December in 2015, the proportion of antibacterial prescriptions in clinic, the proportion of emergency antibacterials, the proportion of antibacterials used in outpatient and emergency department, the usage of antibacterials in hospitalized patients, the usage of two or more antibacterials in inpatients, Perioperative prophylaxis with antimicrobial agents, strength of antimicrobial agents, and prevention of the use of antimicrobials are the major Class I incisions. Results Outpatient anti-bacterial drugs were used more than 20% of the provincial control indicators (except for the hospital west of September), the proportion of emergency use of antimicrobial drugs has not been fully achieved, the combination of two kinds of outpatient and emergency services are more antibiotics, inpatients general control of antimicrobial drugs Within 60%, inpatients are more likely to use two or more antimicrobials during hospitalization. Class I incision perioperative prevention of the use of antimicrobial drugs, the proportion of> 30%, the use of antimicrobial agents did not fully meet the strength. Conclusion still need to take control measures to regulate the use of antimicrobial agents. Class I incision perioperative prevention of antimicrobial drugs with high grade.