中国药物应用与监测
中國藥物應用與鑑測
중국약물응용여감측
CHINESE JOURNAL OF DRUG APPLICATION AND MONITORING
2013年
5期
286-290
,共5页
抗菌药物%专项整治%用药频度%抗菌药物使用强度%合理用药
抗菌藥物%專項整治%用藥頻度%抗菌藥物使用彊度%閤理用藥
항균약물%전항정치%용약빈도%항균약물사용강도%합리용약
Antibacterials%Special rectiifcation%Frequency of medication%Antibiotics use density%Rational use of drugs
目的::调查我院2012年抗菌药物专项整治期间不同阶段抗菌药物的应用情况,为后续管理提供参考。方法:采用回顾性调查法,对2012年5-7月(整治前期),2012年8-10月(整治中期),2012年11月-2013年1月(整治后期)抗菌药物用药金额、用药频度(DDDs)、抗菌药物使用强度(AUD)等数据进行统计分析。结果:抗菌药物专项整治后期和整治中期抗菌药物的DDDs较整治前期分别下降19.83%和15.54%,AUD下降了17.54%和14.15%。人均使用抗菌药物费用由903.52元下降到843.65元,人均下降59.87元。整治后期和整治中期的抗菌药物使用率较整治前期下降了17.60%和8.75%。分级管理制度被严格执行后,我院特殊级抗菌药物管理成效明显,其中整治后期和整治中期的特殊级抗菌药物使用率比整治前期下降了49.06%和40.17%,特殊级抗菌药物使用强度分别下降了20.08%和12.95%。Ⅰ类切口手术的抗菌药物预防使用率从整治前期22.22%下降到整治中期的16.67%和整治后期的14.58%,均符合Ⅰ类切口抗菌药物使用率≤30%的规定。整治期间,微生物标本送检率未见明显变化,且检出阳性率较低。结论:本次抗菌药物专项整治有助于促进我院抗菌药物的合理使用,但是要提高我院抗菌药物临床合理应用的水平,还必须制定抗菌药物临床应用管理的长效机制。
目的::調查我院2012年抗菌藥物專項整治期間不同階段抗菌藥物的應用情況,為後續管理提供參攷。方法:採用迴顧性調查法,對2012年5-7月(整治前期),2012年8-10月(整治中期),2012年11月-2013年1月(整治後期)抗菌藥物用藥金額、用藥頻度(DDDs)、抗菌藥物使用彊度(AUD)等數據進行統計分析。結果:抗菌藥物專項整治後期和整治中期抗菌藥物的DDDs較整治前期分彆下降19.83%和15.54%,AUD下降瞭17.54%和14.15%。人均使用抗菌藥物費用由903.52元下降到843.65元,人均下降59.87元。整治後期和整治中期的抗菌藥物使用率較整治前期下降瞭17.60%和8.75%。分級管理製度被嚴格執行後,我院特殊級抗菌藥物管理成效明顯,其中整治後期和整治中期的特殊級抗菌藥物使用率比整治前期下降瞭49.06%和40.17%,特殊級抗菌藥物使用彊度分彆下降瞭20.08%和12.95%。Ⅰ類切口手術的抗菌藥物預防使用率從整治前期22.22%下降到整治中期的16.67%和整治後期的14.58%,均符閤Ⅰ類切口抗菌藥物使用率≤30%的規定。整治期間,微生物標本送檢率未見明顯變化,且檢齣暘性率較低。結論:本次抗菌藥物專項整治有助于促進我院抗菌藥物的閤理使用,但是要提高我院抗菌藥物臨床閤理應用的水平,還必鬚製定抗菌藥物臨床應用管理的長效機製。
목적::조사아원2012년항균약물전항정치기간불동계단항균약물적응용정황,위후속관리제공삼고。방법:채용회고성조사법,대2012년5-7월(정치전기),2012년8-10월(정치중기),2012년11월-2013년1월(정치후기)항균약물용약금액、용약빈도(DDDs)、항균약물사용강도(AUD)등수거진행통계분석。결과:항균약물전항정치후기화정치중기항균약물적DDDs교정치전기분별하강19.83%화15.54%,AUD하강료17.54%화14.15%。인균사용항균약물비용유903.52원하강도843.65원,인균하강59.87원。정치후기화정치중기적항균약물사용솔교정치전기하강료17.60%화8.75%。분급관리제도피엄격집행후,아원특수급항균약물관리성효명현,기중정치후기화정치중기적특수급항균약물사용솔비정치전기하강료49.06%화40.17%,특수급항균약물사용강도분별하강료20.08%화12.95%。Ⅰ류절구수술적항균약물예방사용솔종정치전기22.22%하강도정치중기적16.67%화정치후기적14.58%,균부합Ⅰ류절구항균약물사용솔≤30%적규정。정치기간,미생물표본송검솔미견명현변화,차검출양성솔교저。결론:본차항균약물전항정치유조우촉진아원항균약물적합리사용,단시요제고아원항균약물림상합리응용적수평,환필수제정항균약물림상응용관리적장효궤제。
Objective:To investigate the clinical application of antibacterials in our hospital during the different periods of special rectiifcation in 2012, so as to provide reference for follow-up management. Methods:The special rectiifcation period was divided to three stages:early stage (May to July 2012), middle stage (August to October 2012) and last stage (November 2012 to January 2013). Data such as the consumption sum, the frequency of medication (DDDs) of antibacterials and the antibiotics use density (AUD) were analyzed in different stages retrospectively. Results:DDDs decreased by 19.83%and 15.54%, AUD decreased by 17.54%and 14.15%, and the utilization rate of antibacterials decreased by 17.60%and 8.75%in the last stage and middle stage of special rectiifcation compared with that in the early stage, respectively. The mean expense of antibacterials decreased from 903.52 Yuan to 843.65 Yuan (decreasing by 59.87 Yuan). The use of special level antibacterials was improved obviously after classiifed management and special rectiifcation, the utilization rate of special level antibacterial agents decreased by 49.06%and 40.17%, and AUD decreased by 20.08%and 12.95%in the last stage and middle stage compared with that in the early stage, respectively. The utilization rate of prophylactic use of antibacterials in classⅠincision operation decreased from 22.22%in the early stage to 16.67%in middle stage and 14.58%in last stage, which met with the criteria demand of less than 30%. In the period of special rectiifcation, microbiological samples detection rate had no signiifcant change, and the positive detection rate was low. Conclusion:The special rectiifcation can signiifcantly improve the rational use of antibacterials in our hospital, but long-term management mechanism of antibacterial application should be taken to strengthen the rational use of antibacterials.