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目的了解本院抗生素使用情况,提醒医生严格掌握用药指征,杜绝抗生素滥用。方法调查我院出院病历1669份,调查其住院期间使用抗生素的情况,包括手术类型、抗生素种类、剂量、疗程等。结果非手术患者919例,抗生素使用率49.4%,手术患者750例,抗生素使用率100%,II类手术全部使用了抗生素,平均用药3 d,I类手术抗生素使用时间超过4 cd。抗生素在术前、术中、术后的使用率分别占87%、48%,100%。结论我院抗生素使用不合理,需采取措施改变现状。
Objective To understand the use of antibiotics in our hospital to remind doctors to strictly control the indications and to stop the abuse of antibiotics. Methods A total of 1669 medical records were discharged from our hospital to investigate the use of antibiotics during hospitalization, including the type of surgery, the types of antibiotics, the dosage and the course of treatment. Results 919 cases of non-surgical patients, antibiotic use rate of 49.4%, 750 cases of patients with antibiotics, 100%, all the use of class II antibiotics, the average medication 3 d, class I antibiotics use more than 4 cd. Antibiotics in preoperative, intraoperative and postoperative rates accounted for 87%, 48%, 100%. Conclusion The use of antibiotics in our hospital is unreasonable and measures need to be taken to change the status quo.