| 摘要: |
| 目的
动态分析贵州省医院感染横断面抗菌药物使用情况。方法 对2010年8月30日和2014年9月16日全天所有住院患者进行横断面医院感染现患率调查，以统一标准填写调查表并进行资料统计分折。结果 （1）调查日调查住院患者现患率分别为3.49%和2.35%；（2）抗菌药物使用率分别为55.52%和39.24%，治疗用药为主，分别占51.58%、67.24%；(3)抗菌药物联用方面：单一用药为主分别占60.88%、79.32%；(4)治疗用药患者病原学送检率从13.84%上升到24.16%；(5)革兰阴性菌位居医院感染病原体首位。结论 减少抗菌药物联合使用，提高病原学送检，重点关注综合ICU、妇科组和产科组抗菌药物的临床应用管理，以达到规范使用抗菌药物的目的。 |
| 关键词: 抗菌药物 病原菌 医院感染 横断面调查 |
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| Analysis of Antimicrobial Usage in Patients Under the Cross-sectional Investigation Hospital Infection |
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| Abstract: |
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Objective To dynamic control the daily antimicrobial use in patients at hospitals in Guizhou province. Methods By means of cross-sectional survey，the patients who were hospitalized on August 30，2010，September 16，2014 were enrolled in the study,then the unified and standard questionnaire tables were filled out，and the statistical analysis of the data was performed. Results (1)The prevalence rate of HAI was 3.49% in 2010，2.35% in 2014；(2)The usage rates of antimicrobial agents was 55.52%，39.24% respectively，the most usage rates of antimicrobial agents of the therapeutic purpose were 51.58%，67.24%；(3)60.88%，79.32% of patients received one agent which was the most of part；(4)The pathogenic detection rate from 13.84% to 24.16%；(5)The dram-negative bacteria ranked the first place among the pathogens causing nosocomial infections. Conclusion Reduce the combined antimicrobial use，raise the pathogen detection，and focus on the ICU，pediatrics and respiratory the management of rational use of antimicrobial should be strengthened. To achieve the purpose of standard use of antimicrobial agents. |
| Key words: antibiotics,pathogen,hospital associated infection,cross-sectional survey |
