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目的:通过开展抗菌药专项检查,分析我院门诊抗菌药的使用情况,促进合理用药。方法:组建抗菌药专项检查专家小组,每月抽取每位医生至少50张抗菌药处方,对抗菌药使用的合理性进行评估与分析。结果:通过7个月的抗菌药专项检查,我院门诊抗菌药使用率由35.2%下降到25.6%,非限制使用抗菌药使用率由48.7%上升至56.2%,联合用药率由14.8%下降至10.3%;Ⅰ类切口围手术期抗菌药的使用率由78.2%下降至19.8%。结论:医院严格落实抗菌药临床应用指导原则,能促进临床医生更好把握用药指征,避免抗菌药滥用。
Objective: To carry out antimicrobial special inspection, analysis of the use of antibacterials in our clinics to promote the rational use of drugs. Methods: An antimicrobial special inspection team was set up. At least 50 antimicrobial prescriptions were drawn from each doctor on a monthly basis to evaluate and analyze the rationality of antimicrobial use. Results: After 7 months of special antibacterial tests, the use rate of outpatient antibacterials dropped from 35.2% to 25.6%, the rate of non-restricted use of antibacterials increased from 48.7% to 56.2%, and the combination rate dropped from 14.8% to 10.3%. The utilization rate of perioperative antibacterials in class Ⅰ incision decreased from 78.2% to 19.8%. Conclusion: The hospital strictly implements the guiding principle of clinical application of antibacterial drugs, which can promote clinicians to better grasp the indication of medication and avoid the abuse of antibacterial drugs.