中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
12期
739-742
,共4页
抗菌药物%合理用药%管理%Ⅰ类切口%三级医院%二级医院
抗菌藥物%閤理用藥%管理%Ⅰ類切口%三級醫院%二級醫院
항균약물%합리용약%관리%Ⅰ류절구%삼급의원%이급의원
antimicrobial agent%ration drug use%management%type I incision%tertiary hospital%secondary hos-pital
目的：了解开展抗菌药物整治活动3年以来不同等级医院抗菌药物临床应用情况，为制定抗菌药物临床应用管理持续改进措施提供依据。方法采用回顾性调查方法，分别对5个地州市5所三级医院和5所二级医院各抽取检查日之前3个月内的门急诊处方和出院病历（其中100例Ⅰ类切口手术），调查抗菌药物使用和管理情况。结果10所医院各抽取门诊处方200张，急诊处方100张，出院病历200份。三级医院和二级医院门诊抗菌药物使用率分别为17．40％和18．00％，急诊抗菌药物使用率分别为31．60％和40．10％；住院患者抗菌药物使用强度（AUD）分别为28．13±8．04和49．67±11．63，抗菌药物使用率分别为41．30％和56．20％。治疗用抗菌药物病原送检率分别为45．70％和22．70％，使用限制级抗菌药物病原送检率分别为61．50％和27．40％；Ⅰ类切口手术抗菌药物使用率分别为20．00％和40．40％；品种合理率分别为94．60％和59．20％，时机合理率分别为95．20％和48．20％；联合用药率分别为8．80％和36．60％；疗程合理率分别为84．00％和52．80％。结论开展抗菌药物整治活动3年，三级医院抗菌药物临床应用管理已符合卫生行政部门管理要求，检查指标整体达标且优于二级医院，应加强二级医院抗菌药物的管理。
目的：瞭解開展抗菌藥物整治活動3年以來不同等級醫院抗菌藥物臨床應用情況，為製定抗菌藥物臨床應用管理持續改進措施提供依據。方法採用迴顧性調查方法，分彆對5箇地州市5所三級醫院和5所二級醫院各抽取檢查日之前3箇月內的門急診處方和齣院病歷（其中100例Ⅰ類切口手術），調查抗菌藥物使用和管理情況。結果10所醫院各抽取門診處方200張，急診處方100張，齣院病歷200份。三級醫院和二級醫院門診抗菌藥物使用率分彆為17．40％和18．00％，急診抗菌藥物使用率分彆為31．60％和40．10％；住院患者抗菌藥物使用彊度（AUD）分彆為28．13±8．04和49．67±11．63，抗菌藥物使用率分彆為41．30％和56．20％。治療用抗菌藥物病原送檢率分彆為45．70％和22．70％，使用限製級抗菌藥物病原送檢率分彆為61．50％和27．40％；Ⅰ類切口手術抗菌藥物使用率分彆為20．00％和40．40％；品種閤理率分彆為94．60％和59．20％，時機閤理率分彆為95．20％和48．20％；聯閤用藥率分彆為8．80％和36．60％；療程閤理率分彆為84．00％和52．80％。結論開展抗菌藥物整治活動3年，三級醫院抗菌藥物臨床應用管理已符閤衛生行政部門管理要求，檢查指標整體達標且優于二級醫院，應加彊二級醫院抗菌藥物的管理。
목적：료해개전항균약물정치활동3년이래불동등급의원항균약물림상응용정황，위제정항균약물림상응용관리지속개진조시제공의거。방법채용회고성조사방법，분별대5개지주시5소삼급의원화5소이급의원각추취검사일지전3개월내적문급진처방화출원병력（기중100례Ⅰ류절구수술），조사항균약물사용화관리정황。결과10소의원각추취문진처방200장，급진처방100장，출원병력200빈。삼급의원화이급의원문진항균약물사용솔분별위17．40％화18．00％，급진항균약물사용솔분별위31．60％화40．10％；주원환자항균약물사용강도（AUD）분별위28．13±8．04화49．67±11．63，항균약물사용솔분별위41．30％화56．20％。치료용항균약물병원송검솔분별위45．70％화22．70％，사용한제급항균약물병원송검솔분별위61．50％화27．40％；Ⅰ류절구수술항균약물사용솔분별위20．00％화40．40％；품충합리솔분별위94．60％화59．20％，시궤합리솔분별위95．20％화48．20％；연합용약솔분별위8．80％화36．60％；료정합리솔분별위84．00％화52．80％。결론개전항균약물정치활동3년，삼급의원항균약물림상응용관리이부합위생행정부문관리요구，검사지표정체체표차우우이급의원，응가강이급의원항균약물적관리。
Objective To analyze antimicrobial use in the different grades of hospitals within 3 years after the car-rying out of rectification activities of antimicrobial use,and provide basis for making continuous improvement pro-gram of antimicrobial management.Methods Retrospective analysis was performed,outpatient and emergency pre-scriptions and medical records of discharged patients (100 were type Ⅰ incision surgery)were selected from 5 tertia-ry hospitals and 5 secondary hospitals within 3 months,antimicrobial use and management were investigated. Results 200 outpatient prescriptions,100 emergency prescriptions,and 200 medical records of discharged patients were selected from each hospital.In tertiary and secondary hospitals,antimicrobial usage rate in outpatient prescrip-tions was 17.40% and 18.00% respectively,emergency prescriptions was 31 .60% and 40.10% respectively;a-mong inpatients,antimicrobial usage density(AUD)was (28.13±8.04)and (49.67±11 .63)respectively,and anti-microbial usage rate was 41 .30% and 56.20% respectively;pathogenic detection rate of antimicrobial therapeutic cases was 45.70% and 22.70% respectively,therapeutic cases with limit level of antimicrobials was 61 .50% and 27.40% respectively;antimicrobial usage rate in type I incision surgery was 20.00% and 40.40% respectively;The rational rate of antimicrobial types was 94.60% and 59.20% respectively,rational rate of opportunity of antimicro-bial use was 95.20% and 48.20% respectively;combination rate was 8.80% and 36.60% respectively,and rational rate of treatment course was 84.00% and 52.80% respectively.Conclusion In tertiary hospitals,antimicrobial use after 3 years rectification of antimicrobial use conform to the antimicrobial management requirement of Ministry of Health,the overall quality index is better than secondary hospitals,management of antimicrobial in secondary hos-pitals use should be improved.
