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湖南武陵山片区56所乡镇卫生院抗菌药物使用现状调查

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

中国感染控制杂志2016,Vol.15Issue(10):719-725,7.
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

刘建锋 1唐强 1李芬 1焦志海 1李燕华 1唐直婕 1程匀 1谢若清 1岑常淘 2谌婕2

作者信息

  • 1. 湖南医药学院第一附属医院,湖南 怀化 418000
  • 2. 湖南医药学院,湖南 怀化 418000
  • 折叠

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 ()

中国感染控制杂志

OA北大核心CSTPCD

1671-9638

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