中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
Evaluation and Analysis of Drug-Use in Hospitals of China
2015年
8期
1050-1053
,共4页
抗菌药物%限定日剂量%抗菌药物使用强度
抗菌藥物%限定日劑量%抗菌藥物使用彊度
항균약물%한정일제량%항균약물사용강도
Antibiotics%DDD%Application density of antibiotics
目的:了解云南省传染病专科医院(以下简称"我院")抗菌药物使用情况,为合理使用抗菌药物提供依据. 方法:回顾性收集2010-2013年我院抗菌药物使用数据,以限定日剂量为单位,采用Excel 2003软件计算抗菌药物使用强度( antibiotics use density, AUD)并进行分析. 结果:2010年我院AUD为39. 562 DDD/(100人·d),2011年为39. 246 DDD/(100人·d),2012年AUD为30. 167 DDD/(100人·d),2013年AUD为27. 012 DDD/(100人·d),总体值呈逐年下降趋势,与国内其他医院相比,我院AUD偏低. 2010-2013年AUD排序居前10位的抗菌药物主要为抗真菌药、左氧氟沙星、复方磺胺甲 唑、第3代头孢菌素等. 结论:我院抗菌药物的使用有逐年合理、稳定、集中的趋势,但少数品种(碳青霉烯类及糖肽类)的AUD逐年升高,可能存在过度使用情况.
目的:瞭解雲南省傳染病專科醫院(以下簡稱"我院")抗菌藥物使用情況,為閤理使用抗菌藥物提供依據. 方法:迴顧性收集2010-2013年我院抗菌藥物使用數據,以限定日劑量為單位,採用Excel 2003軟件計算抗菌藥物使用彊度( antibiotics use density, AUD)併進行分析. 結果:2010年我院AUD為39. 562 DDD/(100人·d),2011年為39. 246 DDD/(100人·d),2012年AUD為30. 167 DDD/(100人·d),2013年AUD為27. 012 DDD/(100人·d),總體值呈逐年下降趨勢,與國內其他醫院相比,我院AUD偏低. 2010-2013年AUD排序居前10位的抗菌藥物主要為抗真菌藥、左氧氟沙星、複方磺胺甲 唑、第3代頭孢菌素等. 結論:我院抗菌藥物的使用有逐年閤理、穩定、集中的趨勢,但少數品種(碳青黴烯類及糖肽類)的AUD逐年升高,可能存在過度使用情況.
목적:료해운남성전염병전과의원(이하간칭"아원")항균약물사용정황,위합리사용항균약물제공의거. 방법:회고성수집2010-2013년아원항균약물사용수거,이한정일제량위단위,채용Excel 2003연건계산항균약물사용강도( antibiotics use density, AUD)병진행분석. 결과:2010년아원AUD위39. 562 DDD/(100인·d),2011년위39. 246 DDD/(100인·d),2012년AUD위30. 167 DDD/(100인·d),2013년AUD위27. 012 DDD/(100인·d),총체치정축년하강추세,여국내기타의원상비,아원AUD편저. 2010-2013년AUD배서거전10위적항균약물주요위항진균약、좌양불사성、복방광알갑 서、제3대두포균소등. 결론:아원항균약물적사용유축년합리、은정、집중적추세,단소수품충(탄청매희류급당태류)적AUD축년승고,가능존재과도사용정황.
OBJECTIVE:OBJCTIVE:To investigate the application of antibiotics in the Infectious Disease Specialist Hospital of Yunnan Province ( hereinafter referred to as "our hospital") , and to provide evidence for the clinical application of antibiotics. METHODS:By retrospective study,the usage data of antibiotics from 2010 to 2013 were collected and the defined daily dose ( DDD ) was set as the unit, the antibacterial use density ( AUD ) was calculated by Excel 2003 then the results was analyzed. RESULTS:The AUD of our hospital was 39. 562 DDD/(100 patients·d)in 2010;in 2011, the AUD was 39. 246 DDD/(100 patients·d); in 2012, the AUD was 30. 167 DDD/(100 patients·d);in 2013, the AUD was 27. 012 DDD/(100 patients·d). The total AUD of antibiotics had been decreased yearly. Compared with other domestic hospitals, the AUD of antibiotics in our hospital was low. The top ten antibiotics ranked by AUD were antifungal drug,levofloxacin,sulfamethoxazole and the third generation cephalosporin etc. CONCLUSIONS:The tendency of antibiotics use became more reasonable, stable and concentrated yearly in our hospital,but a small amount of varieties of the AUD( carbapenems and glycopeptides) were increased yearly,and had some problems of over medication.
