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2012年第三季度我院抗菌药物使用情况分析

张勇,王喜鹊,张淑珍,张雪慧,封小娜   

  1. 彩虹集团公司彩虹医院,彩虹集团公司彩虹医院,彩虹集团公司彩虹医院,陕西中医学院附属医院,第四军医大学西京医院药剂科
  • 收稿日期:2013-04-24 修回日期:2013-05-28 出版日期:2013-06-25 发布日期:2013-06-24

Analysis of the Usages of Antibiotics of the Third Quarter in Our Hospital in 2012

张雪慧 and 封小娜   

  1. Rainbow hospital of Rainbow Group,Xian Yang, The Affiliated Hospital of Shaanxi University of Chinese Medicine:Xian Yang,Rainbow hospital of Rainbow Group,Xian Yang, The Affiliated Hospital of Shaanxi University of Chinese Medicine:Xian Yang,Rainbow h
  • Received:2013-04-24 Revised:2013-05-28 Online:2013-06-25 Published:2013-06-24

摘要: 目的:了解我院住院患者抗菌药物的使用和趋势,为控制抗菌药物临床不合理应用提供依据。方法:调取我院计算机管理系统中的抗菌药物用药信息,选择药物测量单位限定日剂量(DDD)、用药频度(DDDs)和金额排序等指标,对住院患者抗菌药物的使用情况进行调查和分析。结果:我院DDDs排名前20位的抗菌药物中,13个品规金额与DDDs位次比大于1,其中8个品规金额与DDDs位次比大于2;各类抗菌药物消耗金额所占的比例以头孢菌素类、青霉素类和硝基咪唑类为主,分别占46%、17%和14%;抗菌药物消耗总额占2012年第三季度药品总额的比例为13.1%,与去年(19.2%)同比下降了6.1%;抗菌药物使用率达56%,符合卫生部2012年抗菌药物临床应用专项整治活动方案中对住院患者抗菌药物应用率≤ 60%的要求。结论:我院抗菌药物使用情况较为合理,但也存在着用药过度、选择不当、用药起点高等现象,应加强对临床抗菌药物应用的监督与管理。

Abstract: Objective: To know the usages and trends of antibiotics of inpatients in our hospital and to provide a basis for the control of clinical unreasonable use of antibiotics. Methods: By taking the medication information of antibacterial drugs from the computer management system of our hospital,and by selecting and sorting the DDD(defined daily dose),DDDs and the amount sorting oxder as the measurement indicators,the paper investigated and analyzed the usages of antibiotics of inpatients in our hospital. Results: The paper used the ratio between the amount and the DDDs as the analyzing point,the results showed that in DDDs top 20 of antibacterial drugs in our hospital,the scale ratios of 13 specifications are greater than 1,among which 8 of those are greater than 2. In various types of antibiotics,the cost amount of the cephalosporin class,penicillin class and nitroimidazole class accounted for a large percentage and the percentages were 46,and 17 and 14 respectively. In the total drug spending of the third quarter in 2012,the antibacterial drugs took a proportion of 13.1,which was decreased 6.1 by contrasting the same period of 2011; The utilization ratio of antibacterial drugs was 56,which met the usage of antibiotics requirements of 2012 antibacterial drug clinical application special regulation activities programme drafted by the Ministry of Health. In the programme,it ruled that the antibacterial drug application rate of the inpatients should less than or equal to 60. Conclusion: After investigating and analyzing,we can have a conclusion that the usage of antibiotics are reasonable in our hospital,but there still exist several unreasonable situations such as excessive drug use,drug concentration and some high quality drugs are used by clinicians. So propaganda,education and compliance should be continually strengthened.