CAJ | 학술논문

目的分析我院临床抗菌药物使用情况，探讨临床抗菌药物合理管理途径。方法采用回顾分析方法，对我院2010年1月~2013年12月临床抗菌药物使用情况按照住院患者抗菌药物使用率，DDDs，Ⅰ类切口预防用药使用率，门诊抗菌药物使用率，急诊抗菌药物处方比例、抗菌药物使用和分级使用情况进行分析研究。结果我院4年来住院患者抗菌药物使用率连续下降29.57个百分点，AUD值下降20.60个百分点，Ⅰ类切口预防使用率下降39.40个百分点，门诊抗菌药物使用率上升23.29个百分点，急诊抗菌药物处方比例下降45.7个百分点。头孢菌素类、大环内酯类、抗真菌药、糖肽类的DDDs上升，青霉素类、喹诺酮类、氨基糖苷类、咪唑衍生物类的DDDDs下降，特殊使用级的DDDs呈上升趋势。结论搞好合理应用抗菌药物管理，必须建立切实可行的制度，加强监管、督导、考核，加强医患沟通。
목적분석아원림상항균약물사용정황，탐토림상항균약물합리관리도경。방법채용회고분석방법，대아원2010년1월~2013년12월림상항균약물사용정황안조주원환자항균약물사용솔，DDDs，Ⅰ류절구예방용약사용솔，문진항균약물사용솔，급진항균약물처방비례、항균약물사용화분급사용정황진행분석연구。결과아원4년래주원환자항균약물사용솔련속하강29.57개백분점，AUD치하강20.60개백분점，Ⅰ류절구예방사용솔하강39.40개백분점，문진항균약물사용솔상승23.29개백분점，급진항균약물처방비례하강45.7개백분점。두포균소류、대배내지류、항진균약、당태류적DDDs상승，청매소류、규낙동류、안기당감류、미서연생물류적DDDDs하강，특수사용급적DDDs정상승추세。결론고호합리응용항균약물관리，필수건립절실가행적제도，가강감관、독도、고핵，가강의환구통。
Objective To analysis of antimicrobial drug use in our hospital, to investigate the clinical rational antimicrobial drug approach to management. Methods retrospective analysis, drug use in accordance with the usage of antibacterial drugs DDDs, hospitalized patients in our hospital in 2010 January~2013 year in December the clinical antibacterial, type I incision preventive medication usage rate, the usage rate of antimicrobial agents in outpatient, emergency antimicrobial prescription proportion, by analysis of the use of antibacterial drug use and classification. Results In our hospital in the past four years of continuous use rate was down 29.57 percentage points of antimicrobials, AUD value decreased by 20.60 percentage points, type I incision to prevent the use of rate decreased 39.40 percentage points, outpatient antimicrobial drug use rate increased by 23.29 percentage points, emergency prescriptions declined 45.7 percentage points more than the cases. Cephalosporins, macrolides, antifungal, glycopeptide DDDs rising, penicillins, quinolones, aminoglycosides, imidazole derivatives as DDDDs decreased, special use level of DDDs showed a rising trend. Conclusion In order to make the reasonable application of antibacterial drug management, must establish the feasible system, strengthen supervision, supervision,inspection, to strengthen the doctor-patient communication.