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2012年我国发布了《抗菌药物专项整治活动方案》,加强了抗菌药的使用管理。一年多来,抗菌药实际情况怎么样呢?作者所在单位是一所三甲医院,作者立足本院,从门诊患者、急诊患者、住院患者和Ⅰ类切口手术四个方面调查分析了抗菌药使用情况。发现医院抗菌药不合理使用的情况已经大大减少,并已取得了非常大的进步,但是抗菌药不合理使用的情况还是存在的。作者从医师因素、患者因素和其他因素三个方面分析了抗菌药不合理使用依然存在的原因,并提出了改进的建议。
In 2012, China released the “Anti-bacterial Drug Remediation Program” to strengthen the use of antimicrobial agents. Over the past year, the actual situation of antimicrobial how? The author’s unit is a top three hospitals, the author based on the hospital, from outpatients, emergency patients, hospitalized patients and Ⅰ type incision surgery in four aspects investigated the use of antimicrobial agents Happening. It has been found that the unanticipated use of antimicrobial agents in hospitals has been greatly reduced and great progress has been made. However, there are still cases of irrational use of antimicrobial agents. The author analyzes the reasons for the irrational use of antimicrobial agents from three aspects: physician factor, patient factor and other factors, and puts forward some suggestions for improvement.