| 呼吸科老年患者抗菌药物用药分析 |
| 投稿时间：2012-10-23 修订日期：2013-05-23 点此下载全文 |
| 引用本文：张治然,石焱,牟小帆,那婕.呼吸科老年患者抗菌药物用药分析[J].药学实践杂志,2015,33(1):76~79 |
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| 中文摘要:目的 调查解放军210医院呼吸科老年住院患者的抗菌药物使用情况,分析抗菌药物在呼吸科临床应用的合理性。方法 随机抽取2011年1月至12月呼吸科>60岁的老年患者病历534份,分析统计抗菌药物的使用率、种类、给药途径等数据,对其结果进行讨论,并提出合理化建议。结果 1抗菌药物使用率为97%;2共使用抗菌药物21种,应用的种类有:头孢菌素类、喹诺酮类、β-内酰胺抑制剂、硝基咪唑类、氨基糖苷类、抗真菌药、大环内酯类和林可霉素,前3类抗菌药物所占比例分别为59.97%、17.30%、7.58%;3抗菌药物的不合理应用问题主要集中在:无指征用药,使用率过高,用药品种、给药途径、用药间隔的选择不当,不合理联合用药(如重复用药)等。结论 抗菌药物在呼吸科应用较普遍(达97%),使用中存在不合理的现象。必须重视抗菌药物在老年患者中的合理应用,提高抗菌药物的合理使用率。 |
| 中文关键词:呼吸科 老年患者 抗菌药物 合理用药 |
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| Analysis of antibacterials drug for department of respiration in old patients |
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| Abstract:Objective To investigate the utility of antibiotics in elderly patients of respiratory department in No.210 Hospital of PLA,and to understand the rational use of antibiotics in respiratory department. Methods A total of 534 patients >60 in respiratory department of our hospital from September to December in 2011 were randomly selected.The usage rate of antibiotics,the types that used,dosing routes and so on were recorded and analyzed.Some rational suggestions were discussed put forward. Results 1 The usage rate of antibiotics was 97%.2 A total of 21 kinds of antibiotics had been used.The types of drugs are Amp C,levofloxacin,β-lactamase inhibitors,nitromidazoles,aminoglycoside,antifungals,MALS,lincomycin.The percentage rate of the top three antibiotics were 59.97%,17.30% and 7.58%.3 There were some problems in the usage of antibiotics,such as no indication of medicine,high use rate of antibiotics,improper variety selection,dosing routes and drug intervals,irrational use of drugs combinations. Conclusion The application rate of antibiotics was 97%,there was some illegitimate phenomenon in the use of antibiotics.Some attentions should be paid to the rational use of antibiotics in elderly patients,and to raise the rational use rate of antibiotics. |
| keywords:respiratory department elderly patients antibiotics rational drug usage |
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