CAJ | 학술논문

目的：了解抗菌药物临床应用专项整治活动以来南通大学附属东台医院（以下简称“我院”）住院患者抗菌药物的使用情况，为临床合理用药及科学管理提供参考。方法：从我院的医院信息系统中提取2011—2013年住院患者使用抗菌药物的品种、销售金额、使用率，计算抗菌药物使用强度（ AUD）、用药频度（ DDDs）、限定日费用（ DDC）等，对全院及各临床科室的抗菌药物使用情况进行统计分析。结果：2011—2013年我院住院患者抗菌药物人均使用品种数、人均费用、使用率及AUD等呈逐年下降趋势；抗菌药物销售金额亦呈逐年下降趋势。结论：我院还需进一步加强和完善抗菌药物临床应用与管理的制度建设，将抗菌药物临床应用专项整治从阶段性活动逐步转入制度化、规范化、常规化的管理轨道，形成长效机制，促进医院抗菌药物临床应用与管理水平的持续提高。
목적：료해항균약물림상응용전항정치활동이래남통대학부속동태의원（이하간칭“아원”）주원환자항균약물적사용정황，위림상합리용약급과학관리제공삼고。방법：종아원적의원신식계통중제취2011—2013년주원환자사용항균약물적품충、소수금액、사용솔，계산항균약물사용강도（ AUD）、용약빈도（ DDDs）、한정일비용（ DDC）등，대전원급각림상과실적항균약물사용정황진행통계분석。결과：2011—2013년아원주원환자항균약물인균사용품충수、인균비용、사용솔급AUD등정축년하강추세；항균약물소수금액역정축년하강추세。결론：아원환수진일보가강화완선항균약물림상응용여관리적제도건설，장항균약물림상응용전항정치종계단성활동축보전입제도화、규범화、상규화적관리궤도，형성장효궤제，촉진의원항균약물림상응용여관리수평적지속제고。
OBJECTIVE:To understand the antibiotic use in the inpatients of Dongtai Hospital Affiliated to Nantong University(hereinafter referred to as“our hospital”)since the implementation of special rectification activity on antibiotic use for references of clinical rational use and scientific management of antibiotics.METHODS:The data of the antibiotic use in our hospital and each clinical department during 2011-2013 period collected from hospital information system were retrospectively analyzed with regard to number of drug variety, consumption sum, rate of antibiotic use, antibiotic use density (AUD), DDDs and defined daily cost (DDC) etc.RESULTS:During 2011-2013 period, the average number of varieties, antibiotic cost per capita, rate of antibiotic use, AUD and consumption sum of the antibiotics showed year-on-year decrease.CONCLUSIONS:It is important to intensify and improve the system construction regarding the clinical use and management of antibiotics, gradually include the staged special rectification on clinical use of antibiotics into a institutionalized, standardized and routine management track and form a long-term working mechanism in order to promote the everlasting improvement of clinical use and management of antibiotics.