中国药房2012，Vol.23Issue(38)：3566-3569,4.DOI:10.6039/j.issn.1001-0408.2012.38.06
一级医院开展抗菌药物临床应用专项整治活动的必要性分析
Analysis of the Necessity of Special Rectification Activities for Clinical Application of Antibacterials in Grade-one Hospitals
方焕荣 1张海燕 1刘广军 2苏丹 2杨协清1
作者信息
- 1. 江苏大学附属武进医院,江苏常州213002
- 2. 南京医科大学附属常州第二人民医院,江苏常州 213002
- 折叠
摘要
Abstract
OBJECTIVE: To evaluate the clinical application of antibacterials in 27 grade-one hospitals of Changzhou area before and after implementation of essential drug system. METHODS: 2 700 outpatient prescriptions and 1 522 medical records were randomly sampled from 27 grade-one hospitals of Changzhou area during 2010 - 2011. The average cost and total cost of outpatient and inpatients, the utilization rate of antibacterials and the AUD of antibacterials use were analyzed statistically, and the rationality of antibacterials use in medical records of inpatients were also evaluated. RESULTS: After the implementation of essential drug system, the drug income had decreased by 17.37% , but the expense of antibacterials had increased by 2.89% ; the average amount of outpatient prescription had decreased by 17.33%, however the utilization rate of antibacterials drug had decreased by 11.88%; drug cost per capita of inpatient had decreased by 22.03% , and the utilization rate and AUD of antibacterials had decreased by 2.58% and 6.63%, respectively. Antibacterials had been used in 611 pieces among 828 non-operation records and 472 were irrational. Yet, only one case was reasonable in 694 operation records which antibacterials drugs were used 100%. CONCLUSION:The patients' medical burden is effectively relieved after the essential drug system has been carried out, but the irrational use of antibacterials is still serious. With the improvement of Medical Reform and the further special rectification activities of antibacterials in second-level hospitals or above, it is necessary to regulate the clinical application of antibacterials in grade-one hospitals.关键词
一级医院/基本药物/抗菌药物/合理应用/必要性Key words
Community hospital/ Essential drug/ Antibacterials/ Rational use/ Necessity分类
医药卫生引用本文复制引用
方焕荣,张海燕,刘广军,苏丹,杨协清..一级医院开展抗菌药物临床应用专项整治活动的必要性分析[J].中国药房,2012,23(38):3566-3569,4.
