目的 調(diào)查天津市中心婦產(chǎn)科醫(yī)院2013年住院患者抗菌藥物的使用情況,并分析評估其使用合理性.方法 采用回顧性調(diào)查方法對隨機選取的360份病歷中抗菌藥物的使用情況進行匯總,分別從抗菌藥物使用品種、費用、科室分布、聯(lián)合用藥等方面進行統(tǒng)計分析.結(jié)果 360例病歷中155份使用了抗菌藥物,抗菌藥物的使用率為43.06%,其中產(chǎn)科使用例數(shù)為67例,使用率(77.91%)最高,聯(lián)合用藥比例為18.07%,62份病歷為不合理用藥,占17.22%.結(jié)論 天津市中心婦產(chǎn)科醫(yī)院抗菌藥物使用基本合理,但少數(shù)病歷存在用藥不合理現(xiàn)象.抗菌藥物的管理需要多部門共同參與,醫(yī)師應(yīng)嚴格用藥指征,臨床藥師應(yīng)加強培訓(xùn),醫(yī)院加強監(jiān)督管理.

Objective To investigate the utilization of antimicrobials of in-patients in Tianjin Central Hospital of Gynecology Obstetrics in 2013, and evaluate its rationality. Methods The utilization of antimicrobials to in-patients (360 cases) was summarized retrospectively, and the varieties, costs, department distribution, and drug combination were analyzed statistically. Results In 360 cases of in-patients, 155 cases used antimicrobials. The utilization ratio of antimicrobials was 43.06%. There were 67 cases using antimicrobials in obstetrics. The utilization ratio of antimicrobials was the highest (77.91%). The utilization ratio of patients who used combined drugs was 18.07%. Sixty-two cases were unreasonable (17.22%). Conclusion The utilization of antimicrobials is basically reasonable in Tianjin Central Hospital of Gynecology Obstetrics, but there are still some unreasonable use of antimicrobials. Multi-departments need to participate in the management of antimicrobials together. Physicians should be strict to the medication indications and clinical pharmacists should receive the more and better training, and the hospital should strengthen supervision.