中国药房2013,Vol.24Issue(30):2818-2821,4.DOI:10.6039/j.issn.1001-0408.2013.30.11
西安地区37家医院2012年第2季度抗菌药物利用分析
Analysis of the Application of Antimicrobial Drugs in 37 Hospitals from Xi'an Area during Second Quarter in 2012
陈晟 1李琛 2杨效宇 1张广江 1王惠川1
作者信息
- 1. 西安市第四医院,西安710004
- 2. 西安市卫生局,西安710006
- 折叠
摘要
Abstract
OBJECTIVE:To investigate the application of antimicrobial drugs in the hospitals from Xi'an area.METHODS:By using retrospective method,the utilization of antimicrobial drugs in 37 hospitals during 2nd quarter in 2012 were analyzed statistically in terms of rational use index,types,consumption sum,DDDs and DDC,according to rational use index of antimicrobial drugs stated in National Clinical Use of Antimicrobial Drugs Special Rectification in 2012.RESULTS:The use of antimicrobial drugs in 37 hospitals was all in line with the limit standard;41.67% of inpatients AUD was up to the standard; 45.94% of hospitals had ideal proportion of outpatient antimicrobial drugs; 3.03% of hospitals had ideal prophylactic use of drugs in type Ⅰ incision;the qualification rate of type selection,medication timing and reasonable treatment course were 48.48%,63.64% and 36.36% in type Ⅰ incision,respectively; some interventional operation still needed to use antimicrobial drugs; delivered rate of secondary hospital was in low level.Cephalosporin,quinolone,broad spectrum penicillin and its compound preparations had great consumption sum and DDDs.Among top 20 antimicrobial drugs in the list of consumption sum,95% of them were injections; among top 20 drugs in the list of DDDs,65% were oral regular-release dosage form and DDC lower than 50 yuan.CONCLUSIONS:AUD,outpatient antibiotic usage rate,clean perioperative prophylaxis rate and its treatment period,interventional procedures prophylaxis rate and Pathogenic detection rate should be controlled more strictly in Xi'an area.The management of 3rd (4th) generation cephalosporins and quinolones should be strengthened; common and mainstream types of antimicrobial drugs and oral administration should be mostly adopted in the use of antimicrobial drugs.Cheap and frequently used antimicrobial drugs should be reserved in the antimicrobial drugs list,inorder to further improve rational use of antimicrobial drugs in the area.关键词
抗菌药物/销售金额/用药频度/分析Key words
Antimicrobial drugs/ Consumption sum/ DDDs/ Analysis分类
医药卫生引用本文复制引用
陈晟,李琛,杨效宇,张广江,王惠川..西安地区37家医院2012年第2季度抗菌药物利用分析[J].中国药房,2013,24(30):2818-2821,4.