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目的:了解市级医院抗菌药物使用的基本情况及存在问题。方法:根据设定项目调查两市级医院2005年4月所有出院患者的病历。结果:3599份病历中2773份使用抗菌药物,使用率77.05%。两医院抗菌药物使用率分别为76.6%、77.5%,预防用药比例均高于治疗用药,联合用药中单用均逾50%,二联均近40%;手术病人术后均使用抗菌药物,逾60%病例术后使用时间大于72小时。两医院使用量前三位的抗菌药物都属一线药物。结论:市级医院仍存在较多不合理用药问题,必须进一步加强管理。
Objective: To understand the basic situation and existing problems of antimicrobial use in municipal hospitals. Methods: According to the set items survey two municipal hospitals in April 2005 all discharged patients medical records. Results: Among the 3599 medical records, 2,773 antibacterials were used, with a utilization rate of 77.05%. The antibacterials utilization rates in the two hospitals were 76.6% and 77.5% respectively, and the proportion of prophylactic prophylaxis was higher than that of the therapeutic drugs. The combined use of antibacterials in the two hospitals was over 50% and that of the second group was nearly 40%. Antibiotics were used postoperatively 60% of cases were used more than 72 hours after surgery. The top three antibacterials used by both hospitals are first-line drugs. Conclusion: There are still many problems of irrational drug use in municipal hospitals, and management must be further strengthened.