中国感染控制杂志2016,Vol.15Issue(10):719-725,7.DOI:10.3969/j.issn.1671-9638.2016.10.001
湖南武陵山片区56所乡镇卫生院抗菌药物使用现状调查
Current status of antimicrobial application in 56 township hospitals in Hu-nan Wuling mountain area
摘要
Abstract
Objective To investigate antimicrobial application in 56 township hospitals in Hunan Wuling mountain area.Methods 13 348 outpatient prescriptions,1 288 medical records of non-operated patients,and 280 medical re-cords of operated patients in 56 township hospitals in Hunan Wuling mountain area were selected randomly,antimi-crobial application was surveyed.Results Antimicrobial usage rates in outpatients,non-operated inpatients,and operated inpatients were 53.01 %,87.97%,and 98.57% respectively,and the percentage of combined antimicrobi-al agents were 19.57%,46.96%,and 39.86% respectively.The percentage of antimicrobial prophylaxis in patients undergoing type I incision surgery was 96.94%,combined antimicrobial usage rate was 36.84%.Antimicrobial use density in hospitalized patients was 124.92 DDDs/100 patient days.8 573 antimicrobial agents were prescribed in outpatient prescriptions of 56 hospitals, the top 5 frequently used antimicrobial agents were amoxicillin, ceftriaxone,amoxicillin/clavulanate potassium,levofloxacin,and clindamycin.Conclusion Antimicrobial agents are overused and irrationally used in township hospitals in Hunan Wuling mountain area.Health care workers should strengthen learning,conscientiously implement the relevant regulations on antimicrobial management;health administrative departments should strengthen the supervision and management on clinical application of antimicrobial agents,and promote the rational use of antimicrobial agents in township hospitals.关键词
乡镇卫生院/抗菌药物/合理用药/门诊处方Key words
township hospital/antimicrobial agent/rational antimicrobial use/outpatient prescription分类
医药卫生引用本文复制引用
刘建锋,唐强,李芬,焦志海,李燕华,唐直婕,程匀,谢若清,岑常淘,谌婕..湖南武陵山片区56所乡镇卫生院抗菌药物使用现状调查[J].中国感染控制杂志,2016,15(10):719-725,7.基金项目
湖南省科技项目 ()