基层医院手术患者抗菌药物的应用及成本分析  

Antibacterials in Patients Accepted Operation in Grass-roots Hospitals:Their Application and Cost Analysis

作　　者：张兴华[1] 孙洪芹[1] 徐凤霞[1] 吕艳华[1] 王晓芹[1] 

机构地区：[1]潍坊市人民医院,山东潍坊261041

出　　处：《中华医院感染学杂志》2007年第1期78-80,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解基层医院手术患者抗菌药物的使用情况,规范手术医师正确使用抗菌药物,降低医疗成本。方法医院感染管理专职人员调查所在医院2004年9月份的手术患者抗菌药物应用情况,按调查表格内容逐一填写。结果调查11所医院1 383例手术患者,抗菌药物使用率98.63%,预防用药占86.50%,治疗用药占13.50%;Ⅰ、Ⅱ、Ⅲ类手术平均使用抗菌药物的时间分别是6.90、7.006、.60 d,术后应用一种和二联、三联抗菌药物分别占29.90%、50.15%、18.70%,人均抗菌药物费用956.50元,占药品费用的47.60%。结论预防应用抗菌药物范围大、用药时间延长、联合用药是造成抗菌药物应用成本高的主要原因。OBJECTIVE To investigate the application of antibacterials in patients accepted operation in grass-roots hospitals, so to standardize the application of antibacterials and cut down the medical cost. METHODS Full-time administrators for nosocomial infection investigated the application of antibacterials in patients who accepted operation in Sep 2004, and filled in the questionnaires. RESULTS In 1 383 cases of 11 hospitals the application rate of antibacterials was 98. 63 % ; in which 86.50 % were for prophylactic usage and 13.50 % for therapeutic usage; 29. 90% for single antibiotics treatment and 50. 15% for bigeminy, 18. 70% were for trigeminy. Time of application differentiated （6.90, 7.00, 6. 60d） from Ⅰ to Ⅲ kinds of operation. Per capita cost of antibacterials was ￥ 956.50 （47.60 %）. CONCLUSIONS High cost of antibacterials results from such factors as multiple kinds, long time and combined application.

关 键 词：手术患者 抗菌药物 切口类型 成本 

分 类 号：R969.3[医药卫生—药理学]