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Application of antibiotics in hospital management


Factor use, clinical departments and third-line antibiotic use rational use of antimicrobial agents to investigate the situation. Hospital of Infectious Diseases and pharmacies to oral, non-gastrointestinal tract antibiotic usage rankings, for subparagraph (monthly, quarterly, half year, year), classification statistics and rankings. The amount of antibiotics found in a period of time beyond the regular, the statistics listed by the computer before using the antibiotic l0 list of doctors and the amount reported to the Pharmaceutical Affairs Committee. Hospital of Infectious Diseases stub through the application of antibiotics to investigate these cases, analysis of irrational factors, infection of the Commission submitted in tabular form, medical executive committee. Week in the notice of the hospital to correct. Our hospital from 1995 has occurred since establishment of the hospital 3 times antibiotics are not normal, are the way to control. Fifth, stop the out-patient infusion and shortened hospital stay following the implementation of the antibiotics in our hospital system application form 1998, after outpatient infusion stop (except paediatrics, gastro-intestinal clinic.) Begin the implementation phase of the system has encountered greater resistance. First, the patient can not accept; second doctor has concerns. For this purpose a number of seminars organized by hospitals, pharmaceutical experts tell you to compare drugs by oral,[link widoczny dla zalogowanych], intravenous, intramuscular injection of different ways to achieve the effective concentration in the body of time, peak, duration and other principles of pharmacokinetics, intramuscular injection of about unnecessary , adverse reactions caused by intravenous infusion. To change the original concept of medical staff, and can make the patient and the patient, careful interpretation, gradually the patient's understanding and cooperation. Proved patient discontinuation of the infusion in terms of reducing the proportion of drug income contributed, as well as eliminating a temperature of 235 * the abuse of antibiotics in bed. Extended length of stay will increase opportunities for hospital infection, through long-term educational practice, this concept has become the consensus of medical and nursing staff in our hospital. Shorten the length of stay become a conscious action. 1998-2003 daily average length of stay in our hospital �� 10 days, lower than the levels stipulated by the Ministry of Health hospital length of stay �� 16 days of the standard. Rapid bed turnover, and reduce expenditures in reducing drugs use of antibiotics has played a positive role. Sixth,[link widoczny dla zalogowanych], the development of preventive antibiotics in clinical guidelines based on rational use of antimicrobial agents in Zhejiang Province mentoring program, combined with the actual situation in our hospital, further amendments to prophylactic antibiotics guide to clinicians rational use of antibiotics. Seven, the establishment of bacterial resistance system of monitoring reports and periodic follow-up summary of the bed and feedback pathogens and their drug monitoring data, the rational use of antibiotics is an important means ��3. Hospital Infection Control Section will check whether the use of antibiotics prior to specimen submission,[link widoczny dla zalogowanych], the positive rate of specimens of the situation in routine monitoring programs, identify problems and provide timely and correct. And cooperative bacteria Room regular (monthly, quarterly, half year) will conduct clinical bacterial resistance statistics, organized into tables published in the hospital in time for the antibiotic resistance of clinical information available to guide clinicians to the rational use of antibiotics. Infection control nurses, a day room to understand the bacterial culture conditions of bacteria,[link widoczny dla zalogowanych], keep abreast of trends in nosocomial infection. On positive culture results of patients bedside investigation into the use of antibiotics is reasonable and timely manner to the doctor in charge of infectious diseases physicians and feedback. In carrying out an investigation on hospital bed, the source of infection of bacteria to make a preliminary analysis, and multi-drug resistant bacteria isolated from the recommendations proposed by the bedside, in reducing cross infection played an important role. VIII, Storehouse and other measures may not disclose medical information center drug use; Pharmacy members shall not purchase without pharmacy 'will agree that the drugs; proposed use of antibiotics when doctors refer more authoritative magazines or books,[link widoczny dla zalogowanych], not simply to drug dealers The information provided the basis for clinical treatment.
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