目的 提高临床医生在血培养结果出来前经验性用药的准确率.方法 对2009年11月-2010年10月我院血培养阳性菌株的耐药性进行分析,对相关病例进行回顾性分析.结果 178份血培养阳性的菌株耐药率较高;血培养结果出来前经验用药率达94.94%,与药敏试验结果的符合率为43.82%.使用率最高的抗菌药为喹诺酮类药物,使用率为41.86%.结论 临床医生应根据医院耐药谱合理选择用药,提高经验用药的准确率.%Objective To improve the veracity of experienced medication in clinical treatment of septicaemia before the outcome of blood culture. Methods 178 patients with positive blood culture from November 2009 to October 2010 were retrospectively analyzed. Results Drug resistance rate was high. 94. 94％ of medication were used before the outcome of blood culture , only 43. 82％ were coincident with the outcome. Quinolone was the most frequently used medication, with a use ratio of 41. 86％ . Conclusion Doctors should select medication reasonably in accordance with the drug resistance to improve the accuracy of experienced medication.
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