目的 了解医院抗菌药物应用现状.方法 采用横断面调查方法,对2010年7月6日所有住院患者进行抗菌药物使用调查.结果 横断面抗菌药物使用率为61.90%,联合用药占54.68%,预防用药比例(57.17%)>治疗用药比例(42.83%),预防用药集中在外科、五官科等手术科室,规定日剂量频率(DDDs)列前5位的抗菌药物为头孢呋辛钠、美洛西林钠、奈替米星、头孢他啶、头孢替唑.结论 加强围手术期抗菌药物合理应用的管理是降低医院抗菌药物使用率的关键.%Objective To investigate the application status of antibacterial from a first class hospital. Methods A cross sectional study was conducted on the use of antibacterial in all inpatients On July 6 in 2010. Results 61.90％ of the cases received antibiotics,and the rate of antibiotics used in combination was 54.68％, the rate of preventive regimen using were higher: preventive regimen(57.17 ％ ), active treatment(42.83 ％ ). Preventive medications main in the surgery department and otolaryngology department,et al. Leading the list in terms of DDDs were Cefuroxime Sodium, Mezlocillin sodium, Netilmicin, Ceftazidine and Ceftezole. Conclusion The key to reduce the use of antimicrobial,measures should be taken to tighten control on the preventive application of antimicrobial drugs.
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