2007—2008年上海地区二、三级医院抗菌药物应用分析  

Use of Antibiotics in Shanghai Second and Third Level Hospitals During the Period of 2007-2008

作　　者：姚蓝[1] 张蓉蓉[1] 毛士龙[1] 胡宁琰[1] 

机构地区：[1]上海市徐汇区中心医院药械科,上海200031

出　　处：《中国医院用药评价与分析》2010年第11期971-973,共3页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：上海市卫生局<上海市二级甲等综合性医院用药分析与应用研究>资助项目(编号:2007079)

摘　　要：目的:了解上海地区二、三级医院抗菌药物应用情况。方法:调查上海市12家二级医院和14家三级医院2007—2008年抗菌药物的处方张数、用药金额、用药频度等信息,并进行统计分析。结果:二级医院抗菌药物用药金额占总用药金额比高于三级医院;二、三级医院抗菌药物用药金额、处方张数和均次费用均有不同程度的增长,且在各管理类别抗菌药物使用上存在差异;第2代头孢菌素、氟喹诺酮类、第3代头孢菌素均居二、三级医院用药金额排序前3位;用药金额排序前10位的抗菌药物品种中,二、三级医院均以头孢替安和头孢西丁增幅最大;二、三级医院抗菌药物DDDs排序前10位的品种大多数相同。结论:二、三级医院在抗菌药物使用中存在部分差异,应加强抗菌药物临床合理使用。OBJECTIVE：To investigate the utilization of antibiotics in Shanghai second and third level hospitals.METHODS：The data concerning the number of prescriptions,consumption sum and DDDs of antibiotics in 12 second level hospitals and 14 third level hospitals in Shanghai during the period 2007-2008 were statistically analyzed.RESULTS：The proportion of the antibiotics in total in second level hospitals was higher than that in third level hospitals in terms of consumption sum.The consumption sum,number of prescriptions and average cost of antibiotics in second level and third level hospitals increased to a different degree,showing differences among different categories.In respect of consumption sum,the second generation cephalosporins,quinolones and the third generation cephalosporins dominated the first 3 places in both the second and the third level hospitals.In the top 10 drugs on the list of consumption sum,cefotiam and cefoxitin showed a larger extent of increase in both second and third level hospitals.Most of the antibiotics which ranked in the first 10 places in DDDs were of similar categories in second and third level hospitals.CONCLUSION：There were some differences in the use of antibiotics between the second and third level hospitals.Great importance should be attached to clinical rational use of antibiotics.

关 键 词：上海地区 抗菌药物 用药金额 用药频度 用药分析 

分 类 号：R978.1[医药卫生—药品]