摘要
目的:分析医院住院患者抗菌药物使用监测指标,评价抗菌药物用药的合理性。方法:借助PASS临床药学管理系统,提取2018年—2019年间所有住院患者的病历资料,分析抗菌药物使用率、使用强度、Ⅰ类切口手术预防使用抗菌药物百分率、标本的微生物送检率等监测指标,以及12335份抗菌药物专项点评病例的抗菌药物合理使用情况。结果:抽取的12335份住院患者病历中,抗菌药物使用率和使用强度逐年下降;Ⅰ类切口手术预防用抗菌药物比例也有所下降,标本的微生物送检率逐年上升;点评结果发现,抗菌药物诸多不合理使用原因主要表现为抗菌药物用法用量不适宜、抗菌药物选用不适宜,其次是抗菌药物预防用药疗程偏长、预防用药时机不适宜、联合用药不适宜等。结论:医院应加强对临床抗菌药物的使用监管,促进抗菌药物的合理使用。
Objective:To analyze the monitoring indicators of antibacterial drugs usage in hospitalized patients,and to evaluate the rationality of antimicrobial drug usage so as to standardize the clinical application of antibacterial drugs.Methods:With the help of PASS clinical pharmacy management system,the medical records of all inpatients from 2018 to 2019 were extracted for analyzing the monitoring indicators(including the usage rate and intensity of anti-bacterial drugs,the preventive usage rate of antibacterial drugs in type I incision surgery and the rate of microbial detection)and rational use of antibacterial drugs.Results:Among the 12335 inpatients’medical records,the utilization rate and intensity of antibacterial drugs decreased year by year.The proportion of antibacterial drugs used for the prevention of type I incision surgery also decreased,but the rate of microbial examination of each specimen increased year by year.The review results showed that there were many reasons for the unreasonable usage of antibacterial drugs,including inappropriate usage and dosage of antibacterial drugs and inappropriate selection of antibacterial drugs,followed by a long course of preventive medication of antibacterial drugs,inappropriate timing of preventive medication,as well as inappropriate combination of antibacterial drugs.Conclusion:The hospital should strengthen the supervision of the usage of antibacterial drugs to promote the rational usage of antibiotics in clinic.
作者
朱永超
ZHU Yong-chao(Department of Pharmacy,He’nan Shengde Hospital,Xinyang He'nan 464000,China)
出处
《抗感染药学》
2020年第8期1115-1119,共5页
Anti-infection Pharmacy
关键词
抗菌药物
住院患者
监测指标
antibacterial drugs
inpatients
monitoring indicators
