吉首大学学报(自然科学版)

• 医学 • 上一篇    下一篇

外伤住院患者抗菌药物的不合理使用分析

郝义伟   

  1. (南京浦口医院,江苏 南京 210031)
  • 出版日期:2016-03-25 发布日期:2016-05-11
  • 作者简介:郝义伟(1975—),男,安徽来安人,南京浦口医院主治医师,主要从事急诊外科临床研究.〖ZW)〗郝义伟

Analysis of Antibiotics Misuse in Trauma Inpatients

HAO Yiwei   

  1. (Nanjing Pukou Hospital,Nanjing 210031,China)
  • Online:2016-03-25 Published:2016-05-11

摘要:

以南京浦口医院外伤住院患者为研究对象,调查分析该医院抗菌药物的使用情况.分析结果表明,南京浦口医院560例外伤住院患者中,各科室β内酰胺类药物的使用频率均最大,其中普外科30.4%,手外科38.1%,骨外科37.9%,脑外科35.6%,泌尿科33.3%,各科室之间无显著性差异;该院均以疗程失当占比最大,且多为疗程过长,剂量失当居第2位,且多为剂量不足,不正确的联合用药或无用药指征用药相对较少.提高医务工作者专业素养,严格执行卫生部相关制度,抗菌药物的使用才能得以规范.

关键词: 外伤, 住院患者, 抗菌药物, 滥用

Abstract:

This article investigates and analyzes antibiotics misuse in trauma inpatients.The results showed that among the 560 inpatients,β lactam antibiotics were the most frequently applied in all departments,accounting for 30.4% of the antibiotics misuses in general surgical department,38.1% in hand surgical department,37.9% in orthopedic surgical department,35.6% in neurosurgical department and 33.3% in urological department.There was no significant differences between the departments.The most common problems includes the improper course of treatment,especially the too long course of treatment,and the improper dosage,especially the insufficiency of dosage.By comparison,the incorrect combined medication and the medication without indication were rare relatively.Therefore,the professional competence of medical staff must be improved,and the more powerful measures should be strictly carried out to reduce antibiotics misuse.

Key words: trauma, antibiotics, misuse

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