论文部分内容阅读
目的:分析医院万古霉素临床使用情况,以促进其合理使用。方法:采用回顾性分析方法,收集医院2013年7—12月使用万古霉素的住院患者328例临床用药资料,分析其病原学检查结果、用药指征等。结果:使用万古霉素的患者药物利用指数(DUI)为0.75,治疗有效例数为312例(占95.2%),其中监测血药浓度患者为27例(占8.2%)。结论:医师应严格掌握万古霉素的用药指征,避免单凭经验用药;加强对患者万古霉素血药浓度监测,严格控制特殊级药物使用,从而提高万古霉素的临床疗效及合理用药水平。
Objective: To analyze the clinical use of vancomycin in hospitals to promote its rational use. Methods: A retrospective analysis method was used to collect 328 clinical data of hospitalized patients who used vancomycin in hospital from July to December in 2013, and analyzed their etiological examination results, medication indications and so on. Results: The DUI was 0.75 in patients receiving vancomycin, 312 cases were effective (95.2%) and 27 cases (8.2%) were monitoring blood concentration. Conclusion: Physicians should strictly control the indications of vancomycin and avoid the empirical medication alone; strengthen the monitoring of vancomycin blood concentration in patients and strictly control the use of special drugs to improve the clinical efficacy and rational drug use of vancomycin .