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住院患者抗生素临床应用现状
An Analysis of Using Antibiotics in Our Hospital
  
DOI:
中文关键词:  住院患者 抗生素 合理用药 药物利用 给药途径
英文关键词:Antibiotics,Drug Utilization,Rational Drug Use
基金项目:
李江林  贺淑媛
深圳市人民医院药学部,深圳市人民医院药学部 广东深圳,518020,广东深圳,518020
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中文摘要:
      目的:通过分析某市立医院住院患者抗生素使用情况,探讨抗生素临床应用的合理性。方法:统计2003年7月20日全院住院患者处方590张中抗生素总药量、总用药天数、联合用药情况以及2003年7月1~31日为期1个月全院临床科室所用抗生素的给药途径、用药总量。结果:住院患者抗生素的使用量很大.但由DUI值可见日剂量基本正常。联合用药比例大,两联及两联以上占使用抗生素处方的95.6%。头孢呋辛钠、头孢曲松钠、头孢唑林钠的总DDD数远大于其他各种抗生素占据前3位。结论:不规范的联合用药导致抗生素重复用药,用量过大,抗生素滥用明显。
英文摘要:
      Objective: To discuss whether the usage of antibiotics in our hospital was reasonable by analyzing the dose and total amount of antibiotics used in in-patients.Method: The total amount and number of the days to administer antibiotics in all the 590 prescriptions for in-patients on July 20,2003 were figured out. The condition of combined use of antibiotics was analyzed. The administration methods and total amount of antibiotics used in all the clinical departments of our hospital from July 1 to July 31, 2003 were also summarized.Result: The amount of antibiotics used in in-patients was very high, but each dose was in normal limit according to DUI. The unified use of antibiotics occupied high proportion. There were two and more than two kinds of antibiotics in 95.6% of prescriptions with antibiotics. The amounts of cefuroxime injection, ceftriaxone injection and cephazolin injection were much larger than other antibiotics, their total DDD numbers being 3000, 2700 and 2400 respectively.Conclusion: The repeated use of antibiotics was caused by abnormal combination, which resulted in high amount of the use of antibiotics. The abuse of antibiotics was apparent.
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