2012-2015年医院急诊内科上呼吸道感染患者抗菌药物应用情况调查分析

发布时间：2018-07-05 05:02

本文选题：急诊内科 + 上呼吸道感染　；参考：《中华医院感染学杂志》2017年06期

【摘要】：目的调查研究2012-2015年医院急诊内科上呼吸道感染患者抗菌药物应用情况,为上呼吸道感染治疗提供依据。方法于2012年1月-2015年12月每年随机抽取医院急诊内科上呼吸道感染患者处方300份,将每年抗菌药物应用率、应用方式、联合应用及不合理应用等情况进行分别统计及比较。结果 2012年1-12月300份处方中,抗菌药物应用率为92.00%,2013年1-12月300份处方中,抗菌药物应用率为80.67%,2014年1-12月300份处方中,抗菌药物应用率为70.00%,2015年1-12月300份处方中,抗菌药物应用率为62.33%,抗菌药物应用率逐年下降,联合应用率及不合理应用率也明显降低,联合应用率低于单一用药率,静脉用药率低于其他应用方式,差异有统计学意义P0.05。结论 2012-2015年医院急诊内科上呼吸道感染患者抗菌药物应用率、联合应用率及不合理应用率均逐步下降,且其应用方式情况也有一定特点,应给予针对性干预。
[Abstract]:Objective to investigate the use of antimicrobial agents in patients with upper respiratory tract infection in emergency department of hospital from 2012 to 2015, and to provide evidence for the treatment of upper respiratory tract infection. Methods from January, 2012 to December, 2015, 300 prescriptions of upper respiratory tract infection patients in emergency department of hospital were randomly selected. The application rate, application mode, combined application and irrational application of antibiotics were statistically analyzed and compared respectively. Results the antimicrobial application rate was 92.00 in January to December 2012, 80.67 in 300 prescriptions in January-December 2013, 70.00in 300 prescriptions in January and December 2014, and in 300 prescriptions in January-December 2015. The application rate of antimicrobial agents was 62.33. The application rate of antimicrobial agents decreased year by year, and the combined rate and unreasonable application rate also decreased obviously. The combined application rate was lower than that of single drug use rate, and the rate of intravenous drug use was lower than that of other application methods (P 0.05). Conclusion the antimicrobial application rate, combined rate and unreasonable application rate of upper respiratory tract infection patients in emergency department of hospital from 2012 to 2015 have gradually decreased, and their application mode also has certain characteristics, which should be targeted intervention.
【作者单位】：湖州市中心医院急诊科;
【基金】：浙江省科技计划基金资助项目(2014C33134)
【分类号】：R978.1

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