中国执业药师
中國執業藥師
중국집업약사
CHINA LICENSED PHARMACIST
2014年
12期
44-47
,共4页
易语言%临床药学%抗菌药物%使用强度%分级管理
易語言%臨床藥學%抗菌藥物%使用彊度%分級管理
역어언%림상약학%항균약물%사용강도%분급관리
E-language Software%Clinical Pharmacy%Antibacterials%Use Density%Classification Management
目的：开发抗菌药物分级管理评价系统，提高抗菌药物分级管理水平，减少不合理应用。方法：根据WHO-ATC/DDD（世界卫生组织-药物系统分类/限定日剂量）抗菌药物分类表建立药品数据库。通过“计次循环”语句和抗菌药物使用强度计算公式统计抗菌药物使用强度，自动统计分级抗菌药物送检率。对2010年1-6月和2013年1-6月抗菌药物使用病历的越级使用情况、抗菌药物平均使用金额、使用强度和病原微生物送检情况进行回顾性分析。结果：系统应用后越级使用例数从应用前的125例下降至38例（P=0.000）；抗菌药物使用强度从87.6下降至44.3（P=0.002）；平均使用金额从872.4元下降至659.3元（P=0.001）。非限制类抗菌药物的病原微生物送检率从25.1%提高至40.8%，限制类抗菌药物的病原微生物送检率从32.8%提高至55.5%，特殊类抗菌药物的病原微生物送检率从47.3%提高至93.9%。结论：抗菌药物分级管理评价系统能自动统计与监控抗菌药物分级信息；可提高各级抗菌药物送检率，减少越级使用例数，并降低抗菌药物平均使用金额和使用强度。
目的：開髮抗菌藥物分級管理評價繫統，提高抗菌藥物分級管理水平，減少不閤理應用。方法：根據WHO-ATC/DDD（世界衛生組織-藥物繫統分類/限定日劑量）抗菌藥物分類錶建立藥品數據庫。通過“計次循環”語句和抗菌藥物使用彊度計算公式統計抗菌藥物使用彊度，自動統計分級抗菌藥物送檢率。對2010年1-6月和2013年1-6月抗菌藥物使用病歷的越級使用情況、抗菌藥物平均使用金額、使用彊度和病原微生物送檢情況進行迴顧性分析。結果：繫統應用後越級使用例數從應用前的125例下降至38例（P=0.000）；抗菌藥物使用彊度從87.6下降至44.3（P=0.002）；平均使用金額從872.4元下降至659.3元（P=0.001）。非限製類抗菌藥物的病原微生物送檢率從25.1%提高至40.8%，限製類抗菌藥物的病原微生物送檢率從32.8%提高至55.5%，特殊類抗菌藥物的病原微生物送檢率從47.3%提高至93.9%。結論：抗菌藥物分級管理評價繫統能自動統計與鑑控抗菌藥物分級信息；可提高各級抗菌藥物送檢率，減少越級使用例數，併降低抗菌藥物平均使用金額和使用彊度。
목적：개발항균약물분급관리평개계통，제고항균약물분급관리수평，감소불합리응용。방법：근거WHO-ATC/DDD（세계위생조직-약물계통분류/한정일제량）항균약물분류표건립약품수거고。통과“계차순배”어구화항균약물사용강도계산공식통계항균약물사용강도，자동통계분급항균약물송검솔。대2010년1-6월화2013년1-6월항균약물사용병력적월급사용정황、항균약물평균사용금액、사용강도화병원미생물송검정황진행회고성분석。결과：계통응용후월급사용례수종응용전적125례하강지38례（P=0.000）；항균약물사용강도종87.6하강지44.3（P=0.002）；평균사용금액종872.4원하강지659.3원（P=0.001）。비한제류항균약물적병원미생물송검솔종25.1%제고지40.8%，한제류항균약물적병원미생물송검솔종32.8%제고지55.5%，특수류항균약물적병원미생물송검솔종47.3%제고지93.9%。결론：항균약물분급관리평개계통능자동통계여감공항균약물분급신식；가제고각급항균약물송검솔，감소월급사용례수，병강저항균약물평균사용금액화사용강도。
Objective:To develop the evaluation system for antibacterial drug classification management,im-prove the management level of antibacterial drug classification and reduce unreasonable drug application.Methods:The drug database was established according to the list of antimicrobial drug classification of WHO-ATC/DDD. The use intensity of antimicrobial agents was calculated through the "cycle" statements and the calculation formula of antimicrobial use strength,and the submission rate for testing of classified antimicrobial drugs was automatically reported. The statistical analysis was made retrospectively on the usage of medical records of antimicrobial drug consumption,pathogens,the average amount of consumption,the using intensity and the submission rate for test-ing of pathogens during Jan. to Jun. of 2010 and Jan. to Jun. of 2013.Results:After the application of the sys-tem,cases of use of antibacterial drugs with exceeding power decreased from 125 to 38(P= 0.000),the use in-tensity of antimicrobial agents decreased from 87.6 to 44.3(P= 0.002),the average amount of consumption de-creased from 872.4 to 659.3 yuan(P= 0.001). The submission rate for testing increased from 25.1% to 40.8% and from 32.8% to 55.5% for non-restricted pathogenic microorganisms and the restricted pathogenic microorgan-isms respectively,and the submission rate for testing of the pathogenic microorganisms of special antibacterial drugs increased from 47.3% to 93.9%.Conclusion:The evaluation system of antibacterial drug classification management can automatically make a statistical analysis and monitor the classification information of antibacterial drugs. It can not only increase the submission rate for testing of various antibacterial drugs,but also reduce the use of antibacte-rial drugs with exceeding power and decrease the average amount of consumption and using intensity.
