中国药物警戒 ›› 2016, Vol. 13 ›› Issue (9): 567-569.

• 安全性评价与合理用药 • 上一篇    下一篇

精神病医院住院患者抗菌药物使用情况调查分析

李焕芬, 朱利芳, 褚留杰   

  1. 新乡医学院第二附属医院药学部,河南 新乡453002
  • 收稿日期:2016-05-19 修回日期:2016-10-31 出版日期:2016-09-20 发布日期:2016-10-31

Investigation and Analysis on Usage of Antibiotics in Inpatients of Psychiatric Hospital

LI Huan-fen, ZHU Li-fang, CHU Liu-jie   

  1. Second Affiliated Hospital of Xinxiang Medical University, Henan Xinxiang 453002, China
  • Received:2016-05-19 Revised:2016-10-31 Online:2016-09-20 Published:2016-10-31

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摘要： 目的 了解我院住院患者抗菌药物的使用情况,促进精神科抗菌药物的合理使用。方法 回顾性调查我院精神科2015年9月份出院的802例病历资料,对这些患者住院期间抗菌药物使用情况进行分析。结果 有95例使用了抗菌药物,抗菌药物的使用率为11.85%,其中预防用药9例(9.47%),治疗用药70例(73.68%),无指征用药16例（16.84%）（P<0.001）,单一用药84例(88.42%),二联用药11例(11.58%)（P<0.000 1）;标本送检率为21.05%。结论 精神病医院在抗菌药物的使用指征、预防用药、联合用药等方面存在不合理现象,应加强抗菌药物应用的培训与管理,提高用药水平。

关键词: 精神科, 住院患者, 抗菌药物

Abstract: Objective To investigate the usage of antibiotics in psychiatric hospital so as to promote the rational use of antimicrobial drugs. Methods The medical records of 802 patients discharged from our hospital from September 1st to September 30th of 2015 were sampled for retrospective review of their basic conditions and the application of antibacterial drugs. Results From them 95 cases were administrated with antibacterial drugs, and the usage rate was11.85%, among which the preventive administration accounted for 9.47%, the therapeutic use 73.68%, and the ones using antibiotics with no indications 16.84% (P < 0.001), single medication accounted for 84 cases (88.42%), double medication 11 cases (11.58%) (P < 0.000 1). The bacterial exeamination rate was 21.05%. Conclusion There exist irrational phenomena in our psychiatric hospital in terms of indications of antibacterial drugs, preventative medication, combination medication, etc. So the training education and inspective management should be strengthened.

Key words: psychiatric department, inpatient, antibiotic

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