Title: Analysis of Antibiotic Use in Patients in Department of Urinary Surgery of Chongqing Nanchuan District People's Hospital between April 2010 and April 2011
Abstract: OBJECTIVE: To evaluate the rationality in the use of antibiotics in patients in department of urinary surgery of Chongqing Nanchuan District People's Hospital in order to improve the level of antibiotic use and ensure safe,effective and economic use of antibiotics.METHODS: By a retrospective study,the medical records of 720 patients who discharged from the department of urinary surgery of our hospital between April 2010 and April 2011 were randomly sampled for statistical analysis.RESULTS: Of the total 720 cases reviewed,86.67%(624/720) received antibiotics,mostly in monotherapy or combination of two drugs.Of the 624 antibiotic receivers,only 4.81%(30/624) received drug susceptibility test and pathogen test.The rates of antibiotics used in monotherapy,combination therapy of two and combination therapy three drugs stood at 60.28%(434/720),20.0%(144/720) and 6.39%(46/720),respectively.The antibiotics topping the first three places in terms of use frequency were cefmetazole,fleroxacin and cefoxitin in order.In addition,the rate of perioperative use of prophylactic antibiotics stood at 94.84%(551/581),with 85.54%(497/581) showing improper preventive medication timing.Among the patients in whom the operation duration was3 h,12 were not given added antibiotics.The postoperative antibiotic use duration stood at 7.2 days on average.CONCLUSION: There was improvement in antibiotic use in the patients undergoing urinary surgery as compared with before,but some unreasonable problems such as the low rates of susceptibility test and pathogen test,improper choice of drugs,large doses,prolonged drug use,and improper perioperative medication timing etc still existed.Therefore,efforts should be taken to strengthen publicizing and education as well as supervision and management on the rational use of antibiotics so as to further standardize the antibiotic use.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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