中国执业药师Issue(1)：48-51,4.DOI:10.3969/j.issn.1672-5433.2015.01.011
特殊使用级抗菌药物点评系统的开发与应用
Study on the Development and Application of Comment System for Antimicrobial Agents at Special Use Level
何敬成 1张碧青 2黄凯文1
作者信息
- 1. 佛山市顺德区第一人民医院药学部，广东 佛山528300
- 2. 佛山市顺德区第一人民医院神经外科
- 折叠
摘要
Abstract
Objective: To develop a system for the comment on antimicrobial agents at special use level , so as to improve the clinical use of such antimicrobial agents and reduce the resistant rate of bacteria . Methods: Using easy-language and database technology to establish a comment system by means of score sheet for rationale use of such antimicrobials . A retrospective analysis was conducted on the unreasonable use of medical record by exceeding power of antimicrobial agents at special use level , the submission rate for testing of pathogenic microorganisms , ra-tional drug use ( including drug choice , usage and dosage , combined drug use ) , numbers of single case of consulta-tion , the average amount of consumption and use intensity of antimicrobial agents during Jan . to June of 2010 and Jan . to June of 2013 . Results: The system realized the prescription comment function of antimicrobials at special use level . After adoption of the system the unreasonable application rate of antimicrobials by exceeding power de-creased from 14 . 9% to 2 . 3% ( P = 0 . 000 ) , the submission rate for testing of pathogenic microorganisms increased from 47 . 3% to 93 . 9% ( P = 0 . 000 ) , the reasonable selecting rate increased from 88 . 1% to 96 . 9% ( P = 0 . 000 ) , the consultation application rate increased from 40 . 2% to 97 . 3% ( P = 0 . 000 ) , use intensity of antimicrobial agents at special use level decreased from 164 . 3 to 84 . 2 ( P = 0 . 043 ) , the average consumption amount decreased from 1 210 . 4 to 964 . 1 yuan ( P = 0 . 032 ) . Conclusion: The establishment of the comment system for antimicrobial agents at special use level improved the management and reduced effectively the expense of antibacterial drugs with special use level .关键词
易语言/临床药学/合理用药/处方点评/抗菌药物/特殊使用级Key words
E-language Software/Clinical Pharmacy/Rational Use of drugs/Prescription Comment/Antimicro-bial Agents/Special Use Level引用本文复制引用
何敬成,张碧青,黄凯文..特殊使用级抗菌药物点评系统的开发与应用[J].中国执业药师,2015,(1):48-51,4.
