上海市11家医院2003—2005年抗感染药物应用分析  

Analysis of anti-infection drug usage in 11 hospitals of Shanghai during 2003-2005

作　　者：孙海英[1] 温燕[1] 陈万生[1] 王懿磊[1] 黄堃[2] 

机构地区：[1]第二军医大学长征医院药学部,上海200003 [2]上海市药品监督管理局科技情报研究所,上海200040

出　　处：《第二军医大学学报》2007年第8期884-887,共4页Academic Journal of Second Military Medical University

摘　　要：目的:对2003—2005年上海市11家医院抗感染药物的用药情况及趋势作出客观评估。方法:采用金额排序法,利用Excel 2000软件,对上海市11家医院2003—2005年间抗感染药物的品种、用量、金额、生产厂商等购药信息进行分类统计,并结合使用情况进行分析。结果:2003—2005年上海市11家医院抗感染药物占用药总金额的22.65%,并以每年4.02%的速度下降,抗生素类占到抗感染药物比例近80%。β-内酰胺酶抑制剂在2003、2004、2005年的消耗金额分别为4 412.05、7 369.67、9 516.30万元,年平均增长率为46.86%,2003年排位第3,而在2004年和2005年均上升为第2位;头孢菌素类消耗金额3年间均居首位。在抗感染药物中,消费金额排序前20位的药物占了整个抗感染药物消费金额的近80%,其中舒巴坦钠/头孢哌酮的消耗金额由2003年的第17位上升到2004年的第5位,2005年跃居第1位。结论:抗感染药物的用药金额受到遏制,头孢菌素类在临床使用中仍占主导地位,舒巴坦钠/头孢哌酮的用药量呈逐年大幅上升趋势。Objective： To evaluate the current situation and trend of anti-infection drug usage in 11 hospitals of Shanghai during 2003-2005. Methods： Using the cost ranking approach, we analyzed the anti-infection drug usage in 11 major hospitals of Shanghai during 2003-2005. The drug species, consumption, cost, manufacturer,etc, were analyzed by Excel 2000 software. Results： It was found that the cost of anti-infection drugs in the 11 hospitals occupied 22. 650% of the total drug expenditure during 2003-2005 and the expenditure decreased at an annual rate of 4.02%. We also found that 800% of the anti-infection drugs were antibiotics. The consumption of β-lactamase inhibitor valued 44. 120 5, 73. 696 7 and 95. 163 0 million Yuan in 2003, 2004 and 2005, respectively（with a yearly growth of 46. 86%）, ranking the 3rd in 2003 and the 2nd in both 2004 and 2005. The consumption of cephalosporins ranked the first during 2003-2005. The top 20 anti-infection drugs occupied nearly 800% of the total consumption; the consumption of sulbactam sodium/cefoperazone raised from the 17th in 2003 to the 5th in 2004 and to the first in 2005. Conclusion： The consumption of anti-infection drugs has been restrained; cephalosporins are still the major drugs in clinical practice; and the consumption of sulbactam sodium/cefoperazone is on the rise year by year.

关 键 词：医院 抗感染药 经济学 医院 药费支出 

分 类 号：R978[医药卫生—药品]