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目的探讨本院急诊内科中抗生素的临床应用及耐药情况,为抗生素的合理利用提供更有力的科学依据。方法选取成都军区总医院急诊内科2015年1月—2016年1月开具的抗生素应用处方2075张,通过医院信息系统进行汇总,提取本院患者的抗菌药物使用情况,主要包括抗菌药物的种类、规格、剂量等,随机抽取其中1000例抗生素应用患者进行致病菌菌种鉴定和药敏试验。结果本院急诊内科中抗生素的使用频率最大的是头孢菌素类和青霉素类;抗生素合理使用率为93.9%,其中以单独使用抗生素为主,占66.6%;联合用药占33.4%;抗生素的主要给药方式是注射给药,占93.8%。结论本院急诊内科抗生素的处方使用情况符合原卫生部颁发的《医疗机构临床合理使用抗生素管理规定》中抗生素的相关使用要求,与抗生素的治疗原则相符合。
Objective To investigate the clinical application and drug resistance of antibiotics in emergency department of our hospital to provide a more scientific basis for the rational use of antibiotics. Methods A total of 2075 antibiotic prescriptions were issued from January 2015 to January 2016 in Chengdu Military Region General Hospital Department of Emergency Medicine and collected through hospital information system to extract the usage of antibiotics in our hospital mainly including the types and specifications of antibiotics , Dose, etc., randomly selected patients with antibiotics in 1000 cases of pathogenic bacteria identification and drug susceptibility testing. Results The most frequently used antibiotics in the emergency department of our hospital were cephalosporins and penicillins. The rational use rate of antibiotics was 93.9%, of which 66.6% were antibiotics alone, 33.4% were combined medication, and the main antibiotics Administration is by injection, accounting for 93.8%. Conclusion The prescription and use of antibiotics in our emergency department is in accordance with the requirements of antibiotics used in the clinical rational use of antibiotics in medical institutions issued by the Ministry of Health and is consistent with the antibiotic treatment principle.