抗菌药物使用抽样调查讨论【摘要】 目的：分析临床抗菌药物使用过程中存在的问题，了解其中的不合理因素，进一步指导临床合理用药。方法：对 2025 年 1 月至 2025 年 12 月的住院患者按内、外、妇、儿科随机抽样 1000 例，对病情及抗菌药物使用情况进行分析。结果：手术病例抗菌药物使用率%，在手术病例中使用率 100%；非感染性疾病抗菌药使用率为%，适应症比率为%；疗程最长者 33 天；联合用药率%；手术病例使用前三位用药为喹诺酮类、三代头孢、一代头孢；非手术病例使用前三位用药为三代头孢、大环内酯类、喹诺酮类。三代头孢及喹诺酮类抗菌药总使用率均为%。结论：①手术病例抗菌药使用率高；②发热病人或无明确感染病例使用抗菌药；③抗菌药物使用疗程偏长；④部分抗菌药物用法不法律规范；⑤三代头孢及喹诺酮类抗菌药物使用率高；⑥抗菌药物联合用药率高。【关键词】 抗菌药物； 使用；抽样；调查 The Sampling Investigation on Using Antibiotics (Chifeng Second Hospital, Neimenggu Chifeng 024000, China)Abstract： Objective： To analyze the problems and improper factors in using antibiotics , Try to have a guidance on using antibiotics. Method： From Jan. 2025 to Dec. 2025 , 1000 cases were selected to analyze the condition of patients and the use of antiotics. Result： In all cases , the using rate of surgical cases was % , in all surgical cases , the using rate was % , the ratio of indications was % . The longest therapeutic time was 33 days ; The rate of united using antiotics was % . In surgical cases, the using rates of three kinds of antiotics were on front : quinolones (%). The third generation cephalosporins (%); the first generation cephalosporins (%) ; In non-surgical cases , the using rates of three kinds of antiolics were on front : the third generation cefhalosporins (%) , macrolides (%) , quinolones (%) . the rates of quinolones and the third generation cephalosporins all were % . Conclusion： ① The using rates of sur...
