调查研究
He Suiping;Li Jianwei;Quan Yanli;Huan Yanru
2000, 2(4): 232-235.
Objective: To understand the condition of the antibacterial drug utilization and the effects of these drugs on the nosocomial infections. Methods: The data of 44 patients of the nosocomial infections were in entry and statistical analysis with a software of pharmacoepidemiology. Results: In 44 cases, the frequency of antibacterial administration was 88.64% before nosocomial infections, 31.86% for preventive purposes and 33.63% for unreasonable application. Moreover, the microbiological assay and drug sensitive test were not done in 95.5 % of the cases before antibacterials taken. The nosocomial infections mostly occured in the patients who took the drugs for a long time, the gastrointestinal infections standing first on the list. In 8 risk factors of the nosocomial infections, the constitutive ratio and afterwards infection rate of the broadspectrum antibacterial utilization were 29.06 % and 3.93 % , ranking the first and the seventh, respectively. Conclution: Antibacterials are empirically used in clinic for both prevention and treatment with less attention to the microbiological assay and the drug sensitive test. The administration of an-tibacterials is a protective factor, and one of the risk factors for the nosocomial infections, too.