李六亿 于丽华 巩军 杨淑蓉 冀玫 李六亿 于丽华 巩军 杨淑蓉 冀玫 北京医科大学第一医院 北京 100034 中华医院感染学杂志 1999 0 9 4


    关键词：抗菌药物；现状调查；管理；对策 期刊 zhyygrxzz 0 论著 fur -->


    

摘要 目的：了解我院抗菌药物的使用现状和存在问题，为抗菌药物的合理应用和宏观管理提供科学的依据。 方法：采用分层系统抽样，对我院1995年11月～1996年10月期间的住院患者抗菌药物的应用现状及其合理性进行回顾性调查，全部调查资料录入计算机进行统计分析。结果：共调查1932份病历，抗菌药物总的使用率为76.7%，以单种应用为主，占61.2%，主要为静脉给药，其中头孢菌素类占第一位，其次为青霉素类和喹诺酮类，三者共占64.5%；多数使用国产基础抗菌药物，但进口抗菌药物所占金额比重较大；抗菌药物费占整个药费的26.3%；且大部分医师能做到合理应用。结论：加强抗菌药物合理应用的管理非常重要。

    中国图书资料分类法分类号 R978.1

Survey on the antibiotics usage in hospital and improbing its management

Li Liuyi Yu Lihua Gong Jun Yang Shurong Ji Mei

    The First Clinical Hospital, Beijing Medical University, Beijing 100034

Abstract OBJECTIVE：To investigate the usage of antibiotics for improving the management and proper clinical utilization were studied. METHODS：Retrospective study for patients received antibiotics were carried out during Nov. 1995～Oct. 1996. The data were treated by computer. RESULTS：1932 patients were surveyed and the rate of antibiotic usage were 76.7%. 61.2% of patients used one kind of antibiotics. Most of the patients applied antibiotics by introvenous route. Cephalosporins were the first, penicilins next and then quinolones in the antibiotics usage. These three kinds of antibiotics accounted for 64.5% of all antibiotics usage. The majority of them were produced by national industrial and basic antibiotics. But the imported antibiotics were mainly the antibiotics in high expenditure. And the cost of antibiotics was 26.3% in total drug expenses of the hospital. Most of the doctors can use antibiotics properly. CONCLUSION：The results show that it is very important to strengthen the antibiotics usage in hospitals.

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