监测-培训-计划干预模式对呼吸内科门诊上呼吸道感染抗菌药合理使用的研究  

Intervention effect of the mode of monitoring-training-planning on rational use of antibacterials in upper respiratory infection in outpatient clinic of respiratory department

作　　者：陈卫果[1] 蔡越秀[1] 陆奇凯[1] 孙银香[1] 周轶[1] 钟劲松[1] 施文科 李长锋[1] 

机构地区：[1]广东省珠海市人民医院,广东珠海519000

出　　处：《中国实用内科杂志》2008年第8期662-663,共2页Chinese Journal of Practical Internal Medicine

基　　金：世界卫生组织资助项目(HQ/06/17795)

摘　　要：目的探讨监测-培训-计划(MTP)干预模式对门诊上呼吸道感染门诊处方抗菌药使用的影响。方法回顾性随机选取广东省珠海市人民医院呼吸内科门诊2006年7～9月处方作为基线调研,通过MTP对目标医生进行干预,1个月后开始收集干预后的调研样本。而后再干预再调研,如此不断循环。比较MTP干预前后抗菌药使用率、使用针剂百分率和平均药品费用的变化。结果经过4个MTP循环活动后,我院上呼吸道感染抗菌药使用干预前后抗菌药使用率由干预前81.33%下降到0,使用针剂百分率和平均药品费用在干预后分别下降了81.69%、35.47%。结论MTP干预模式有效地提高我院呼吸内科门诊上呼吸道感染抗菌药的合理应用,对促进抗菌药合理使用起到了积极的促进作用。Objective To study the effect of the intervention mode of MTP on use of antibacterials in upper respiratory infection. Methods Adopt retrospective method to select randomly prescriptions of upper respiratory infection from July to September in 2006 for baseline investigation in Ontpatient Clinic of Respiratory Department of the First People＇s Hospital of the city of Zhuhai in Guangdong province. Then aim physicians was interfered by MTP and investigation of post-interfer- ence was carried out after a month. The process of intervention and investigation was carried out repeatedly until June in 2007. The ratio of antibacterials use, injection use percentage and average drug fee was observed in pre/post-interference. Results The ratio of antibacterials use in upper respiratory infection in our hospital was decreased from 81.33% to 0, and the ratio percentage of injection use and average drug fee decreased by 81.69% and 35.47% respectively after four MTP circulations. Conclusion The intervention mode of MTP is feasible and effective on promoting the rational use of antibacterials on upper respiratory infection in Outpatient Clinic of Respiratory Department of our hospital.

关 键 词：呼吸道感染 抗菌药物 合理用药 

分 类 号：R5[医药卫生—内科学]