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作 者:陈坚[1] 张晔 林小文 朱蓓德 周卫英 杨忠英[6] 杜蕾[7] 黄堃[7]
机构地区:[1]上海市松江区中心医院药剂科,上海201600 [2]上海市奉贤区中心医院药剂科,上海201400 [3]上海市金山区中心医院药剂科,上海201500 [4]上海市嘉定区中心医院药剂科,上海201800 [5]上海市青浦区中心医院药剂科,上海201700 [6]上海市崇明县中心医院药剂科,上海202150 [7]上海市食品药品监督管理局科技情报研究所,上海200233
出 处:《中国医院用药评价与分析》2012年第2期106-108,共3页Evaluation and Analysis of Drug-use in Hospitals of China
摘 要:目的:分析《卫生部办公厅关于抗菌药物临床应用管理有关问题的通知》实施前后1年,上海市郊区6家样本医院抗感染药使用状况。方法:应用金额排序法、用药频度(DDDs)排序法和变化率排序法,对上海市郊区6家样本医院抗感染药进行统计和分析。结果:实施后1年抗感染药总金额与用药总金额的百分比下降2.01%,其中氟喹诺酮类下降尤为明显,达到17.86%。但碳青霉烯类却有明显上升,达到55.56%。结论:上海市郊区6家样本医院抗感染药的管理不平衡,氟喹诺酮类管理较好,碳青酶烯类仍然需要加强管理。OBJECTIVE: To investigate the utilization of anti-infective drugs in six suburban hospitals of Shanghai before and(1 year) after the implementation of the Notice of Management Issues on Clinical Application of Anti-infective Drugs Issued by General Office of Ministry of Health.METHODS: The use of anti-infective drugs in six suburban hospitals of Shanghai was analyzed statistically with regard to ranking in consumption sum,DDDs(defined daily dose) and their variation rates.RESULTS: At 1 year after the issuing of the Notice of Management Issues on Clinical Application of Anti-infective Drugs,the percentage of anti-infective agents in the total in terms of consumption sum reduced by 2.01%,much as in the consumption sum of quinolones which declined by 17.86%;however,the consumption sum of carbapenems increased significantly by 55.56%.CONCLUSION: The management on anti-infective agents in these six suburban hospitals in Shanghai is unbalanced.The management on quinolones is satisfactory,yet the management on carbapenems remains to be tightened.
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