医药导报
醫藥導報
의약도보
Herald of Medicine
2015年
11期
1531-1534
,共4页
合理用药%构成比%控制体系,质量%抗菌药物管理
閤理用藥%構成比%控製體繫,質量%抗菌藥物管理
합리용약%구성비%공제체계,질량%항균약물관리
Rational use of drugs%Constituent ratio%Control system,quality%Antibiotics management
目的：评价抗菌药物临床应用质量控制标准和考核体系。方法采用回顾性调查方法,对山东省济宁市第一人民医院抗菌药物临床应用质量控制标准和考核体系运行前(2012年7—9月)后(与2013年7—9月)抗菌药物消耗量排名前10、?国家基本药物目录?(2012年版)中基本抗菌药物消耗量占比、抗菌药物使用率、使用强度等数据进行统计分析。结果与运行前比较,运行后抗菌药物药占比同比下降39.91％,国家基本抗菌药物消耗同比升高71.46％,非国家基本药物头孢西丁、氨曲南注射液、注射用头孢米诺消耗量同比下降84.56％,89.99％,56.52％,国家基本药物注射用头孢唑林、注射用头孢呋辛钠、注射用头孢曲松钠同比升高36.39％,363.50％,24.06％,抗菌药物消耗金额同比下降35.41％,使用强度同比下降36.62％。结论抗菌药物临床应用质量控制标准和评价考核体系的建立、运行、实施,提高了临床对抗菌药物应用相关循证指南及规范遵循的依从性,优化了抗菌药物应用构成比。
目的：評價抗菌藥物臨床應用質量控製標準和攷覈體繫。方法採用迴顧性調查方法,對山東省濟寧市第一人民醫院抗菌藥物臨床應用質量控製標準和攷覈體繫運行前(2012年7—9月)後(與2013年7—9月)抗菌藥物消耗量排名前10、?國傢基本藥物目錄?(2012年版)中基本抗菌藥物消耗量佔比、抗菌藥物使用率、使用彊度等數據進行統計分析。結果與運行前比較,運行後抗菌藥物藥佔比同比下降39.91％,國傢基本抗菌藥物消耗同比升高71.46％,非國傢基本藥物頭孢西丁、氨麯南註射液、註射用頭孢米諾消耗量同比下降84.56％,89.99％,56.52％,國傢基本藥物註射用頭孢唑林、註射用頭孢呋辛鈉、註射用頭孢麯鬆鈉同比升高36.39％,363.50％,24.06％,抗菌藥物消耗金額同比下降35.41％,使用彊度同比下降36.62％。結論抗菌藥物臨床應用質量控製標準和評價攷覈體繫的建立、運行、實施,提高瞭臨床對抗菌藥物應用相關循證指南及規範遵循的依從性,優化瞭抗菌藥物應用構成比。
목적：평개항균약물림상응용질량공제표준화고핵체계。방법채용회고성조사방법,대산동성제저시제일인민의원항균약물림상응용질량공제표준화고핵체계운행전(2012년7—9월)후(여2013년7—9월)항균약물소모량배명전10、?국가기본약물목록?(2012년판)중기본항균약물소모량점비、항균약물사용솔、사용강도등수거진행통계분석。결과여운행전비교,운행후항균약물약점비동비하강39.91％,국가기본항균약물소모동비승고71.46％,비국가기본약물두포서정、안곡남주사액、주사용두포미낙소모량동비하강84.56％,89.99％,56.52％,국가기본약물주사용두포서림、주사용두포부신납、주사용두포곡송납동비승고36.39％,363.50％,24.06％,항균약물소모금액동비하강35.41％,사용강도동비하강36.62％。결론항균약물림상응용질량공제표준화평개고핵체계적건립、운행、실시,제고료림상대항균약물응용상관순증지남급규범준순적의종성,우화료항균약물응용구성비。
Objective To evaluate the quality control standard and check system of clinical using of antibiotics based on the change of the constituent ratio of antibiotics. Methods In this retrospective study, we compared consumption of the ten mostly prescribed antibiotics, constituent ratio of national essential drugs, antibiotics utilization ratio and antibiotics use density between the third quarter of 2012 and that of 2013. Results Compared with 2012, the usage of antibiotics was reduced by 39.91%, and the usage of national essential drugs rose by 71.46%, whereas the consumptions of cefoxitin, aztreonam, cefminox were reduced by 84.56%, 89.99%, and 56.52%, respectively, in 2013.The consumptions of cefazolin, cefuroxime, ceftriaxone rose by 36. 39%, 363. 50% and 24. 06%, respectively. The amount of used antibiotics was reduced by 35. 41%, and the application frequency of antibiotics was reduced by 36.62%. Conclusion The establishment, running and implement of the quality control standard and check system of clinical using of antibiotics make constituent ratio of antibiotics used in the first people's hospital of Jining City more reasonable, which will help to promote the rational use of antibiotics in clinic.
