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目的 查明某县级医院住院呼吸系病人的抗生素使用情况 ,探讨有关影响因素 ,为抗生素的合理使用与管理提供依据。方法 从医院病案室录取资料 ,共调查 479例呼吸系住院病人 ,并请有关专家针对抗生素使用情况进行综合评判。结果 合理使用抗生素者 376人 ,合理率为 78 5 % ;不合理使用抗生素者 10 3人 ,不合理率为2 1 5 %。女性病人抗生素使用合理率 (85 5 % )显著高于男性病人 (75 4% ,P <0 0 5 ) ;肺结核、上呼吸道感染病人的使用合理率显著低于其他病人。不同年龄、不同职业、不同婚姻状况、不同医疗支付形式病人的抗生素使用合理率 ,均未见显著差异。结论 县级医院住院呼吸系病人中存在有较为严重的抗生素使用不合理的情况 ,应加强对基层医院医务人员正确使用抗生素的培训。
Objective To identify the use of antibiotics in residency patients in a county-level hospital and explore the influencing factors, so as to provide basis for rational use and management of antibiotics. Methods A total of 479 respiratory patients were enrolled from the hospital medical records and experts were invited to conduct a comprehensive evaluation on the use of antibiotics. Results The rational use of antibiotics, 376 people, a reasonable rate of 78 5%; unreasonable use of antibiotics, 103 people, the unreasonable rate of 215%. The rational use rate of antibiotics in female patients was 85.5%, which was significantly higher than that of male patients (75 4%, P 0 05). The rational use rate of tuberculosis and upper respiratory tract infection patients was significantly lower than that of other patients. Different age, different occupations, different marital status, different forms of medical payment in patients with rational use of antibiotics, no significant differences were found. Conclusion There are some serious cases of unreasonable use of antibiotics in patients with respiratory diseases in county-level hospitals. Training on the proper use of antibiotics by medical staffs in primary hospitals should be strengthened.