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目的探讨住院患者抗菌药物的应用情况,为抗菌药物的合理应用和管理提供依据。方法随机抽查浠水县人民医院2013年7—8月归档病历591份,对病历记录长期医嘱、临时医嘱中的抗菌药物使用情况进行调查。结果调查中,使用抗菌药物的病历有381份(64.5%),其中治疗用药比例占74.3%,预防用药比例占28.6%;病原学送检率为7.4%;抽取52份Ⅰ类切口手术病历,其抗菌药物使用的37例患者中预防用药使用率为70.3%。结论该院抗菌药物应用管理指标基本合理,但仍存在一些问题,应引起重视。
Objective To investigate the application of antibacterials in hospitalized patients and provide evidence for the rational application and management of antibacterials. Methods A random sample of 591 cases were archived in Xishui County People’s Hospital from July to August in 2013 to investigate the use of antibacterials in long-term medical records and temporary medical orders. Results In the survey, there were 381 cases (64.5%) of medical records of antibacterials used, of which 74.3% were treated and 28.6% were prophylactic; the rate of etiological examination was 7.4%; 52 cases were classified as Class Ⅰ incision, The anti-bacterial drug use of 37 patients in the prevention of drug use was 70.3%. Conclusion The hospital management of antimicrobial agents is reasonable, but there are still some problems that should be paid attention to.