|
|
Analysis of the utilization of antibiotics for special use in hospital patients in traditional Chinese medicine hospital |
XIE Jing TAN Xiying▲ YAO Yi ZHANG Xiaoping ZHOU Zhuxiu |
Department of Pharmacy, Jiangsu Province Hospital of TCM, Jiangsu Province, Nanjing 210029, China |
|
|
Abstract Objective To provide reference for clinical rational use and scientific management through analyzing the utilization of antibiotics for special use of inpatients in Jiangsu Province Hospital of TCM (“our hospital” for short). Methods The data and drug information of 4234 patients treated with antibiotics for special use in our hospital from January to December in 2016 were analyzed retrospectively. Results Such drugs were most applied in Department of Pneumology and Hematology. The rate of microbiological examination was 58.03%, which did not reach the national standard. The number of men was more than women. Most patients were the elder whose mean age was 68 years old. The mean time of usage was 7 days. Most patients were respiratory infections. The frequency of drug use in the first three was Cefepime, Imipenem / Cilastatin and Cefoselis respectively. Conclusion The application of antibiotics for special use for inpatients in our hospital is basically reasonable, but also needs to be further strengthened.
|
|
|
|
|
[1] 国家卫生计生委办公厅,国家中医药管理局办公室,解放军总后勤部卫生部药品器材局.抗菌药物临床应用指导原则[S].国卫办医发[2015]43号.2015-07-24
[2] 卫生部办公厅.关于进一步加强抗菌药物临床应用管理的通知[S].卫办医发[2008]48号.2008-03-19.
[3] 卫生部.抗菌药物临床应用管理办法[S].卫生部令第84号.2012-04-20.
[4] 江苏省卫生计生委办公室.江苏省抗菌药物临床应用分级管理目录(2015年版)[S].苏卫办医政[2015]6号.2015-02-05.
[5] 陈新谦,金有豫,汤光.新编药物学[M].17版.北京:人民卫生出版社,2011.
[6] 丁楠,朱青芳,马运芳,等.新疆某三甲医院2014~2016年住院患者特殊使用级抗菌药物应用分析[J].中国医药导报,2017,14(32):124-127,132.
[7] 常枫,常金生,王序,等.神经外科住院患者送检标本感染病原菌检测结果分析[J].中华医院感染学杂志,2017, 27(7):1546-1549.
[8] 蒋燕,刘利,董丽娥.特殊使用级抗菌药物临床应用分析[J].现代预防医学,2016,43(11):2102-2112.
[9] 由晓颜,孔繁荣,苏维奇.耐碳青霉烯类肠杆菌科细菌的临床分布特点及耐药性分析[J].中国卫生检验杂志,2017, 27(4):601-603.
[10] 徐琳,谢英华,赵莉敏,等.血液肿瘤患者抗菌药物使用情况调查[J].中国现代药物应用,2016,10(1):111-112.
[11] 王翠翠,李明,丁凯阳.2013~2016年单中心血液科细菌感染病原菌分布特点[J].安徽医学,2017,38(10):1276-1278.
[12] 郭宏杰,李庆洁,宋娜,等.慢性阻塞性肺疾病呼吸衰竭患者呼吸道感染病原菌分布与耐药性分析[J].中华医院感染学杂志,2015,25(8):1719-1721.
[13] 张永靖,袁艳娜,范金琳.序贯疗法治疗老年肺部感染的临床疗效评价[J].中华医院感染学杂志,2017,27(4):792-795.
[14] 江芬芳.头孢吡肟在临床应用中的不良反应分析及防治[J].世界最新医学信息文摘,2017,17(43):273-274.
[15] 吴汀溪,续畅,沈素.万古霉素血药浓度对老年患者肾功能的影响[J].中国医药导报,2017,14(6):160-163.
[16] 白艳,李悦,刘斌,等.抗真菌药肝毒性的文献计量学分析[J].药物不良反应杂志,2014,16(3):134-138.
[17] 刘贵芳,陈清.阿奇霉素治疗小儿支气管肺炎的效果观察及护理[J].中国医院用药评价与分析,2017,17(6):798-800.
[18] 朱来清,陈晶.第四代头孢菌素的作用特点及临床应用[J].临床医学,2014,34(4):106-108.
[19] 郭茵,苏景强,罗邦军,等.脓毒症组方联合替加环素和亚胺培南/西司他丁治疗重症泛耐药鲍曼不动杆菌肺炎临床观察[J].临床合理用药杂志,2017,10(23):3-4,21.
[20] 2012年中国中性粒细胞缺乏伴发热患者抗菌药物临床应用指南[J].中华血液学杂志,2012,33(8):693-697.
[21] 何慧清,黎伟超,李卫华,等.恶性血液病化疗后中性粒细胞缺乏合并深部真菌感染的临床分析[J].中国医药导报,2012,9(7):167-168.
[22] 张培金,闵琦芬,刘协萍,等.骨科患者医院获得性感染的META分析[J].中国消毒学杂志,2017,34(10):989-992.
[23] 杨伟玲,邹前健.某医院骨科患者手术部位感染临床分析[J].中国消毒学杂志,2015,32(3):258-260. |
|
|
|